Individual provider Active NPI

Patrick Stephen Baldwin, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1396846689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10328 Issued in TX
Practice address
3100 Matlock Road,
Suite109
Arlington, TX 76015-2900
Phone
(817) 795-2704
Fax
(817) 419-8670
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10328 TX Primary

Addresses

Primary practice location

3100 Matlock Road,
Suite109
Arlington, TX 76015-2900

Mailing address

2709 Oakridge Road
Burleson, TX 76026-1955
Phone (817) 447-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070303000051 TX Practitioner - Clinical Social Worker 1052413408 Practice locations: Pantego, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10328TXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396846689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 OAKRIDGE ROAD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760261955",
            "telephone_number": "817-447-1074",
            "fax_number": "817-419-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MATLOCK ROAD,",
            "address_2": "SUITE109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152900",
            "telephone_number": "817-795-2704",
            "fax_number": "817-419-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "PATRICK",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.