Active NPI
Mary Margaret Patterson, MS, LCSW
- Clinical Social Worker
- Rhinelander, WI
National Provider Identifier
1336231018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2170-123
- Practice address
- 705 East Timber Drive, PO 897
21B S. Brown Street
Rhinelander, WI 54501 - Phone
- (715) 362-7463
- Fax
- (715) 369-4577
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 9, 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 | 2170-123 | WI | Primary |
Addresses
Primary practice location
705 East Timber Drive, PO 897
21B S. Brown Street
Rhinelander, WI 54501
Mailing address
123 North Baird Avenue
Rhinelander, WI 54501
Phone (715) 362-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39193600 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2170-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336231018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NORTH BAIRD AVENUE",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-362-7463",
"fax_number": "715-369-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 EAST TIMBER DRIVE, PO 897",
"address_2": "21B S. BROWN STREET",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-362-7463",
"fax_number": "715-369-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "MS, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2170-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39193600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.