Patricia A Blodgett, LCSW 29582

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 29582 Issued in CA

Practice address

427 F St Ste 205
Eureka, CA 95501-1040

Phone

(707) 834-5408

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Patricia Anne Anderson-Blodgett Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Still Waters Counseling

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1104335470
  NPD Authorized official
• Sarah Catherine Haag PHD

  • Psychologist
  • Eureka, CA
  • NPI 1699102111
  NPD (past)

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1285969436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 F ST STE 205",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011040",
            "telephone_number": "707-834-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 F ST STE 205",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011040",
            "telephone_number": "707-834-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 G St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014447",
            "country_code": "US",
            "telephone_number": "707-834-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW 29582",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 29582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ANDERSON-BLODGETT",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LCSW29582",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Blankenhorn
• Maria Blatchley, RN
• Cheryl Blatt-Lewis, MFT
• Kyle Blaylock, ACSW
• Kirsten Elise Blessing, PA-C
• Dennis Royal Blue, DDS
• Alexandra Belle Blumen
• Elizabeth Boak
• Jennifer Boak
• Jibril Bob

• Clinical Social Worker in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.