Individual provider Active NPI

Cathy J Patterson, LCSW

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1174011852
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253251 Issued in KY
Practice address
782 Weatherly Dr
Clarksville, TN 37043-8941
Phone
(931) 645-3552
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253251 KY Primary

Addresses

Primary practice location

782 Weatherly Dr
Clarksville, TN 37043-8941

Mailing address

782 Weatherly Dr
Clarksville, TN 37043-8941

Other practice location 1

225 Medical Center Dr Ste 201
Paducah, KY 42003-7907
Phone (270) 444-4250

Other practice location 2

1328 W 3rd St
Owensboro, KY 42301-1901
Phone (270) 683-9441

Other practice location 3

615 Main St Ste E
Tell City, IN 47586-1785
Phone (812) 772-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253251KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling of Indiana CurrentSince Aug 1, 2018 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients
St Joseph Peace Mission for Children Past Accepting new patients

Locations

709 Humboldt St
Ste E
Tell City, IN 47586
Phone (812) 772-2234

615 Main St
Ste E
Tell City, IN 47586
Phone (812) 772-2234

709 Humboldt St
Tell City, IN 47586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1174011852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 WEATHERLY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 WEATHERLY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438941",
            "telephone_number": "931-645-3552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037907",
            "country_code": "US",
            "telephone_number": "270-444-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1328 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423011901",
            "country_code": "US",
            "telephone_number": "270-683-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475861785",
            "country_code": "US",
            "telephone_number": "812-772-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CATHY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.