Pablo Patino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.028348 Issued in IL

Practice address

3649 Kemman Ave
Brookfield, IL 60513-1519

Phone

(708) 257-9586

NPI assigned

Dec 6, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1295541043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 KEMMAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131519",
            "telephone_number": "708-257-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 KEMMAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131519",
            "telephone_number": "708-257-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "PABLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie O'Flaherty
• Vivian Odafe, OTR
• Brittney Paeth, LCSW
• Meredith Palagi
• Susan Marie Paloucek, MHS
• Natalia Pena, DMD
• Penny & Bill Company (Center to Awaken Kindness)
• Berenice G Perez
• Peter a Drahos DDS PC (PG Family Dental)
• Physicians for Natural Health and Wellness, S.C.

• Clinical Social Worker in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.