Active NPI
Dwayne R Pate Jr., LMSW
- Mental Health Counselor
- Cockeysville, MD
National Provider Identifier
1356131908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22004
- Practice address
- 603 Cranbrook Rd Apt K
Cockeysville, MD 21030-3811 - Phone
- (443) 564-2594
- Fax
- (443) 564-2594
- NPI assigned
- May 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22004 | MD | Primary |
Addresses
Primary practice location
603 Cranbrook Rd Apt K
Cockeysville, MD 21030-3811
Mailing address
603 Cranbrook Rd Apt K
Cockeysville, MD 21030-3811
Phone (443) 564-2594
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1356131908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 CRANBROOK RD APT K",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303811",
"telephone_number": "443-564-2594",
"fax_number": "443-564-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 CRANBROOK RD APT K",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303811",
"telephone_number": "443-564-2594",
"fax_number": "443-564-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "DWAYNE",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "22004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.