Individual provider Active NPI

Patrick Edward Lachance, BS,LBSW,QMHP,CMHP

  • Clinical Social Worker
  • Mount Pleasant, MI
National Provider Identifier
1194161000
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6802065653 Issued in MI
Practice address
301 S Crapo St
Suite 200
Mount Pleasant, MI 48858-2941
Phone
(989) 772-5938
Fax
(989) 775-7701
NPI assigned
May 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2013

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 6802065653 MI Primary

Addresses

Primary practice location

301 S Crapo St
Suite 200
Mount Pleasant, MI 48858-2941

Mailing address

301 S Crapo St
Suite 200
Mount Pleasant, MI 48858-2941
Phone (989) 772-5938

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6802065653MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Clinical PastSince Feb 13, 2003 Accepting new patients
Community Mental Health for Central Michigan Clinical PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1194161000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "SUITE 200",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938",
            "fax_number": "989-775-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "SUITE 200",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938",
            "fax_number": "989-775-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHANCE",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "credential": "BS,LBSW,QMHP,CMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802065653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.