Active NPI
Cherie Bridges Patrick, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1225236110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2040 North Shadeland Avenue
Suite 200
Indianapolis, IN 46219-1734 - Phone
- (317) 355-1800
- Fax
- (317) 355-1803
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2040 North Shadeland Avenue
Suite 200
Indianapolis, IN 46219-1734
Mailing address
8180 Clearvista Parkway
Suite 230 Attn Sherry Mueller
Indianapolis, IN 46256-4649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270530 | Medicaid | IN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1225236110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8180 CLEARVISTA PARKWAY",
"address_2": "SUITE 230 ATTN SHERRY MUELLER",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 NORTH SHADELAND AVENUE",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191734",
"telephone_number": "317-355-1800",
"fax_number": "317-355-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CHERIE",
"middle_name": "BRIDGES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270530",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.