Individual provider Active NPI

Kaylea Patterson

  • Social Worker
  • North Adams, MA
National Provider Identifier
1164858031
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
184 E Main St
North Adams, MA 01247-4404
Phone
(413) 346-4505
NPI assigned
Sep 23, 2013
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

184 E Main St
North Adams, MA 01247-4404

Mailing address

184 E Main St
North Adams, MA 01247-4404
Phone (413) 346-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904003469 MA Practitioner - Clinical Social Worker 8123568284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Healing LLCGroup PAC ID 1456716521, 6 clinicians

Practice addresses (Care Compare)

184 E Main St
North Adams, MA 01247-4404
Phone (413) 398-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Healing LLC CurrentSince May 29, 2022 Accepting new patients
Optimal Healing LLC CurrentSince Jul 1, 2024 Accepting new patients
The Key Program, Incorporated. Past Accepting new patients

Locations

184 E Main St
North Adams, MA 01247
Phone (413) 346-4505

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1164858031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 E MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474404",
            "telephone_number": "413-346-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474404",
            "telephone_number": "413-346-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KAYLEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.