Individual provider Active NPI

Patricia Rorty, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1508303819
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW28741 Issued in CA
Practice address
5266 Hollister Ave Ste 210
Santa Barbara, CA 93111-4040
Phone
(805) 689-6464
Fax
(805) 919-5261
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 LCSW28741 CA Primary

Addresses

Primary practice location

5266 Hollister Ave Ste 210
Santa Barbara, CA 93111-4040

Mailing address

206 Wavecrest CT
Goleta, CA 93117-5497
Phone (805) 689-6464

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306001740 CA Practitioner - Clinical Social Worker 1557645850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Wavecrest CT
Goleta, CA 93117-5497

60260 Cree Cir
Bend, OR 97702-8955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW28741CAMDClinical Social Worker
28741CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Radical Therapy, a Licensed Clinical Social Worker, PC. Clinical CurrentSince Jan 28, 2021 Accepting new patients

Locations

14 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 453-3882

5266 Hollister Ave
Ste 210
Santa Barbara, CA 93111
Phone (805) 689-6464

5266 Hollister Ave
Ste 201
Santa Barbara, CA 93111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1508303819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WAVECREST CT",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175497",
            "telephone_number": "805-689-6464",
            "fax_number": "805-919-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 210",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114040",
            "telephone_number": "805-689-6464",
            "fax_number": "805-919-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORTY",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW28741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.