Individual provider Active NPI

Deborah M Patterson, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1255460077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23047 Issued in CA
Practice address
3934 N Tollhouse Rd
Fresno, CA 93726-7436
Phone
(559) 232-2258
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LCS 23047 CA Primary

Addresses

Primary practice location

3934 N Tollhouse Rd
Fresno, CA 93726-7436

Mailing address

3934 N Tollhouse Rd
Fresno, CA 93726-7436
Phone (559) 232-2258

Other practice location 1

142 E California Ave
Fresno, CA 93706-3642
Phone (559) 600-1033

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
LCS 23047CAMDClinical Social Worker
23047CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255460077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 N TOLLHOUSE RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267436",
            "telephone_number": "559-232-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 N TOLLHOUSE RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267436",
            "telephone_number": "559-232-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 E California Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937063642",
            "country_code": "US",
            "telephone_number": "559-600-1033",
            "fax_number": "559-600-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.