NPIMap

Individual provider Active NPI

Patrick Caruso, LICSW

  • Social Worker
  • Spokane, WA
National Provider Identifier
1295790731
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW00004217 Issued in WA
Practice address
7307 N Division St
Suite 311
Spokane, WA 99208-6545
Phone
(509) 465-2300
Fax
(509) 465-9501
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW00004217 WA Primary

Addresses

Primary practice location

7307 N Division St
Suite 311
Spokane, WA 99208-6545

Mailing address

21980 E Country Vista Dr
Ste 200
Liberty Lake, WA 99019-6025
Phone (509) 465-2300

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

State licenses

LicenseStateTypeSpecialty
LW00004217WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman Anesthesia PS Past Accepting new patients
Infectious Disease Clinic of Spokane Past 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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1295790731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21980 E COUNTRY VISTA DR",
            "address_2": "STE 200",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196025",
            "telephone_number": "509-465-2300",
            "fax_number": "509-465-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 N DIVISION ST",
            "address_2": "SUITE 311",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086545",
            "telephone_number": "509-465-2300",
            "fax_number": "509-465-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "PATRICK",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW00004217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.