Raymond Patke, Jr, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW 992530 Issued in CO

Practice address

17 Farragut Ave
Colorado Springs, CO 80909-5686

Phone

(719) 636-2122

Fax

(719) 636-1116

NPI assigned

Mar 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477673788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 DENVER WEST PKWY",
            "address_2": "SUITE 225",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013189",
            "telephone_number": "303-237-6865",
            "fax_number": "303-237-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FARRAGUT AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095686",
            "telephone_number": "719-636-2122",
            "fax_number": "719-636-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATKE, JR",
        "first_name": "RAYMOND",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW 992530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61579343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha Pathiary, RN
• Pathways Counseling and Development, LLC
• Pathwise Productions, Inc.
• Harshal Rohidas Patil, M.D.
• Christopher Patino
• Patrice Werling, LLC
• Patricia a. Fodor, M.D. P.C.
• Patricia Couri Schniedwind, Psy.D., P.L.L.C.
• Patricia E. Pirrello, PH.D., P.C.
• Patricia J. Rand, MD, PC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.