Patti R Dudley, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

G05050 Issued in MD

Practice address

828 Airpax Rd
Suite 300 BLDG-B
Cambridge, MD 21613-6405

Phone

(410) 228-3929

Fax

(410) 228-3810

NPI assigned

Jun 25, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Behavioral Health LLCGroup PAC ID 2567693849, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Cambridge, MD
  • NPI 1215275466
  Medicare reassignment Care Compare group
• Community Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1730626201
  NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356547590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD",
            "address_2": "SUITE 300 BLDG-B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136405",
            "telephone_number": "410-228-3929",
            "fax_number": "410-228-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD",
            "address_2": "SUITE 300 BLDG-B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136405",
            "telephone_number": "410-228-3929",
            "fax_number": "410-228-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "PATTI",
        "middle_name": "R",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "G05050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Jani Associates, LLC (Community Behavioral Health)
• Dr. William E. Bair LLC
• Margaret Elizabeth Dressel
• Christina Marie Drostin, MD
• Brittany Denise Duckworth, LCSW-C
• Kevin Duffus, MSPT, CSCS, CERT MDT
• Caitlyn Kristie Dunn
• David E Eakin, DO
• Eastern Shore Area Health Education Center
• Eastern Shore Emergency Medicine Physicians, LLC

• Clinical Social Worker in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Clinical Social Worker in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.