Patrick Regan Scantlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004832 Issued in MO

Practice address

3100 Broadway Blvd
410
Kansas City, MO 64111-2658

Phone

(816) 753-3333

NPI assigned

Jan 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• BPH LLC

  • Professional Counselor
  • Kansas City, MO
  • NPI 1770989303
  NPD (past)
• John T Bopp PC

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180
  NPD (past)

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1386615334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 CENTRAL ST APT 307",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144683",
            "telephone_number": "816-943-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY BLVD",
            "address_2": "410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-753-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANTLIN",
        "first_name": "PATRICK",
        "middle_name": "REGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B WHEATLANDS",
            "identifier": "C168483",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497990747",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayan Sazdar, MD
• Meredith Scafe, PHD
• Scanlon Chiropractic LLC
• Robert Clayton Scanlon III, D.O.
• Shea Ce Scanlon, CPNP-PC
• Courtnay Scarborough, M.D.
• Patricia Ann Scarborough
• Jessica Lauren Scarlett, FNP
• Paula Coyote Schaaf, LPC AND LCPC
• Donald Edward Schaag, O.D.

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.