Active NPI
Patti Nolan, LCSW, BCD
- Clinical Social Worker
- Novato, CA
National Provider Identifier
1437137585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 11115
- Practice address
- 65 Calypso SHRS
Novato, CA 94949-5346 - Phone
- (415) 328-8815
- NPI assigned
- Jan 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 11115 | CA | Primary |
Addresses
Primary practice location
65 Calypso SHRS
Novato, CA 94949-5346
Mailing address
65 Calypso SHRS
Novato, CA 94949-5346
Phone (415) 328-8815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091112000388 | CA | Practitioner - Clinical Social Worker | 7719025741 | Practice locations: Novato, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
65 Calypso SHRS
Novato, CA 94949-5346
Phone (415) 328-8815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 11115 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255132800000",
"number": "1437137585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CALYPSO SHRS",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495346",
"telephone_number": "415-328-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CALYPSO SHRS",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495346",
"telephone_number": "415-328-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "PATTI",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-07",
"last_updated": "2009-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 11115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.