Patrick John Obrien, LCSW CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3051 Issued in HI

Practice address

551 National Health Care Dr
Daytona Beach, FL 32114-1495

Phone

(386) 323-7500

NPI assigned

May 16, 2006

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1346292885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730726",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321730726",
            "telephone_number": "386-492-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 NATIONAL HEALTH CARE DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141495",
            "telephone_number": "386-323-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4031CAP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3051",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Alejandro Obando, MD
• Dany A Obeid, MD
• Michael Obirek
• Jideofor Ebony Obodozie, MD
• Lisa Obrien
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Ocean Road LLC
• Oceanside Dental Daytona
• Brittany Odio
• Lane Odom

• Clinical Social Worker in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.