Active NPI
Nina M Patterson, LCSW
- Clinical Social Worker
- Chadds Ford, PA
National Provider Identifier
1356367387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013741
- Practice address
- 1224 Baltimore Pike
Ste 210
Chadds Ford, PA 19317 - Phone
- (610) 761-1685
- Fax
- (610) 497-8083
- NPI assigned
- Jul 14, 2006
- 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 | CW013741 | PA | Primary |
Addresses
Primary practice location
1224 Baltimore Pike
Ste 210
Chadds Ford, PA 19317
Mailing address
550 Applewood Court
Aston, PA 19014
Phone (610) 761-1685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2319118000 | Other | PA | IBC BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW013741 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356367387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 APPLEWOOD COURT",
"city": "ASTON",
"state": "PA",
"postal_code": "19014",
"telephone_number": "610-761-1685",
"fax_number": "610-497-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 BALTIMORE PIKE",
"address_2": "STE 210",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "19317",
"telephone_number": "610-761-1685",
"fax_number": "610-497-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "NINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC BCBS",
"identifier": "2319118000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chadds Ford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.