Individual provider Active NPI

Patrick Ralph Klein, LCSW

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1407877939
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4995 Issued in FL
Practice address
2708 Alt 19
Suite 507-10
Palm Harbor, FL 34683-2665
Phone
(727) 787-6177
Fax
(727) 787-8406
NPI assigned
Jul 21, 2006
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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 SW4995 FL Primary

Addresses

Primary practice location

2708 Alt 19
Suite 507-10
Palm Harbor, FL 34683-2665

Mailing address

6127 Oak Ridge Ave
New Port Richey, FL 34653-4234
Phone (727) 841-8973

Other identifiers 7

IdentifierTypeStateIssuer
Z8321OtherFLMENTAL HEALTH NETWORK
FL1888OtherFLBRADMAN
Z8321OtherFLHUMANA
348932000OtherFLMAGELLAN
210637OtherFLCOMPSYCH
7674353OtherFLAETNA
Z8321OtherFLBLUECROSS/BLUESHIELD HEAL

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

State licenses

LicenseStateTypeSpecialty
SW4995FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PK Health Services LLC Clinical PastSince Jul 21, 2006 Accepting new patients
Baycare Behavioral Health Centers, Inc Past Accepting new patients
Family Psychological Services of Palm Harbor Inc PastSince Jan 28, 2024 Accepting new patients
Deborah L. Pierce, Arnp, PA Past Accepting new patients

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1407877939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 OAK RIDGE AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534234",
            "telephone_number": "727-841-8973",
            "fax_number": "727-816-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 ALT 19",
            "address_2": "SUITE 507-10",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832665",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PATRICK",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "Z8321",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRADMAN",
            "identifier": "FL1888",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "Z8321",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "348932000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "210637",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7674353",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD HEAL",
            "identifier": "Z8321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.