Active NPI
Patricia Ann Capron, MSW, LCSW
- Clinical Social Worker
- Roseburg, OR
National Provider Identifier
1386828911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4129
- Practice address
- 272 Medical Loop
Suite E
Roseburg, OR 97471 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- NPI assigned
- Dec 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | L4129 | OR | |
| Clinical Social Worker | 1041C0700X | L4129 | OR | Primary |
Addresses
Primary practice location
272 Medical Loop
Suite E
Roseburg, OR 97471
Mailing address
272 Medical Loop
Suite E
Roseburg, OR 97471
Phone (541) 440-3532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500646738 | Medicaid | OR |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1386828911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 MEDICAL LOOP",
"address_2": "SUITE E",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97471",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 MEDICAL LOOP",
"address_2": "SUITE E",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97471",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRON",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "L4129",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500646738",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.