Patricia Bock

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005405 Issued in NC

Legal business name

PATRICIA BOCK

Practice address

9933 Hwy 70 East
Clayton, NC 27520

Phone

(919) 585-2069

Fax

(919) 585-2075

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Patricia S. Bock, LCSW, LCAS, CCS

Title

Owner/Provider

Phone

(919) 585-2069

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Freedom Behavioral Health Services Doing business as

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1386909877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 HIGHWAY 70 EAST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-585-2069",
            "fax_number": "919-585-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 HWY 70 EAST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-585-2069",
            "fax_number": "919-585-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-585-2069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW,  LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "18",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayesh Patel, DMD
• Jigna Dilipkumar Patel, OD
• Karla R Patria, MBA, RD, LDN
• Patricia a Barfield
• Patricia a Barfield
• Christopher Austin Porter Patrick, DO
• Sharon Payne, OTRL
• Pediatric Possibilities
• Maria Pena
• Marissa Pender, RDN, LDN

• Clinical Social Worker in Clayton, NC
• Providers in Clayton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.