Christopher Ivey Patrick, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 4796 Issued in FL

Practice address

113 Howie Walters Rd
Hurlburt Field, FL 32544-5668

Phone

(850) 881-4237

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

Yes

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

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1366672560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LEWIS DR",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325441005",
            "telephone_number": "850-881-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOWIE WALTERS RD",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445668",
            "telephone_number": "850-881-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CHRISTOPHER",
        "middle_name": "IVEY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Robert Overfelt, MD
• Erica Lea Page, LCSWI
• Justin Palmer, D.M.D.
• Samantha Parham, ARNP, WHNP-BC
• Shane Russell William Pascoe, DMD
• Joshua Patterson
• Jordan Alexandra Paulus-Andres, MD
• Daniel L Paxton, IDMT, PARAMEDIC
• Lindsey Pfau, MS RD LD/N
• Monie Phillips III, PT, DPT

• Clinical Social Worker in Hurlburt Field, FL
• Providers in Hurlburt Field, 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 Jul 22, 2009; 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.