Patricia F Hogan, LCSW, LMT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12072 Issued in AZ

Practice address

Mustang Road 1 Mile North of RT 264
St Michaels Assoc for Special Education
St Michaels, AZ 86511-0100

Phone

(928) 871-2899

Fax

(928) 871-4873

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417171810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ST MICHAELS",
            "state": "AZ",
            "postal_code": "865110100",
            "telephone_number": "928-871-2899",
            "fax_number": "928-871-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUSTANG ROAD 1 MILE NORTH OF RT 264",
            "address_2": "ST MICHAELS ASSOC FOR SPECIAL EDUCATION",
            "city": "ST MICHAELS",
            "state": "AZ",
            "postal_code": "865110100",
            "telephone_number": "928-871-2899",
            "fax_number": "928-871-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12072",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Beekman, MA, OTRL
• Pernell Kevin Begaye
• Melvina E. Bigthumb, M.S.
• Rez Liwag Cortez
• Susan L Elizondo, M.D.
• Erica Lynn Kish, PT, MPT
• Northern Apache County Special Health Care District (St. Michaels Clinic Pharmacy)
• Northern Apache County Special Health Care District (St. Michaels Clinic)
• Northern Apache County Special Health Care District (St. Michaels Clinic)
• Professional Behavioral Health Services of St. Michaels (Professional Counseling Services)

• Clinical Social Worker in St. Michaels, AZ
• Providers in St. Michaels, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.