Paradise Patterson, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG14498 Issued in MD

Practice address

122 Weber St
Baltimore, MD 21230-4106

Phone

(410) 752-5525

Fax

(410) 752-5531

NPI assigned

Jan 8, 2010

Last updated

Jan 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paradise Burroughs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Maryland Expresscare LLC

  dba Maryland ExpressCare

  • Land Ambulance
  • Baltimore, MD
  • NPI 1134835911
  NPD (past)
• Universal Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1154310225
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1528398849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WILLSHIRE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEBER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304106",
            "telephone_number": "410-752-5525",
            "fax_number": "410-752-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PARADISE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "LG14498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212150600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARADISE",
            "last_name": "BURROUGHS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Imani N Patterson, PA-C
• Kasarah R Patterson
• Nichelle Vanessa Patterson, M.S., LCPC
• Nicole Patterson, P.A.
• Oprah Keyes Patterson, LCSW-C
• Shadayia Patterson
• Tara Clare Patterson, MD
• Tiffany Nichole Patterson, D.O
• Timothy Patterson
• William M Patterson, MD, MPH

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.