Individual provider Active NPI

Patricia Walsh, LCSW

  • Clinical Social Worker
  • Destin, FL
National Provider Identifier
1386941151
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10066 Issued in FL
Practice address
385 Harbor Blvd
Suite 230-a
Destin, FL 32541-2351
Phone
(850) 460-8977
Fax
(850) 460-8978
NPI assigned
Feb 14, 2011
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10066 FL Primary

Addresses

Primary practice location

385 Harbor Blvd
Suite 230-a
Destin, FL 32541-2351

Mailing address

898 Harbor Blvd
Destin, FL 32541-2700
Phone (850) 460-8977

Other identifiers 1

IdentifierTypeStateIssuer
SW 10066OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110531000220 FL Practitioner - Clinical Social Worker 1254518251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

898 Harbor Blvd
Destin, FL 32541-2700
Phone (850) 460-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10066FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Therapy of the Emerald Coast Inc Clinical CurrentSince Nov 13, 2018 Accepting new patients

Locations

385 Harbor Blvd
Ste 101B
Destin, FL 32541
Phone (850) 460-8977

898 Highway 98 E
Destin, FL 32541
Phone (850) 460-8977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1386941151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 HARBOR BLVD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412700",
            "telephone_number": "850-460-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HARBOR BLVD",
            "address_2": "SUITE 230-A",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412351",
            "telephone_number": "850-460-8977",
            "fax_number": "850-460-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW 10066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.