Individual provider Active NPI

Patricia C Radcliffe, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1457380545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991312 Issued in CO
Practice address
10 Boulder Crescent St
Ste.102E
Colorado Springs, CO 80903-3344
Phone
(719) 684-8081
Fax
(719) 684-8081
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 991312 CO Primary

Addresses

Primary practice location

10 Boulder Crescent St
Ste.102E
Colorado Springs, CO 80903-3344

Mailing address

10 Boulder Crescent St
Ste. 102E
Colorado Springs, CO 80903-3344
Phone (719) 684-8081

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
991312COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457380545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "STE. 102E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033344",
            "telephone_number": "719-684-8081",
            "fax_number": "719-684-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "STE.102E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033344",
            "telephone_number": "719-684-8081",
            "fax_number": "719-684-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • 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.