Quentin Tyron Patrick Sr., LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW012411 Issued in GA

Practice address

1123 Church St SE Ste 202
Covington, GA 30014-2876

Phone

(315) 570-7161

NPI assigned

Aug 19, 2025

Last updated

Nov 1, 2026By 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

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1538046792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 VILLA GRANDE DR # L",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487110",
            "telephone_number": "470-620-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHURCH ST SE STE 202",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142876",
            "telephone_number": "315-570-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Villa Grande Dr",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302487110",
            "country_code": "US",
            "telephone_number": "470-620-0197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "QUENTIN",
        "middle_name": "TYRON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW012411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Paschal
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• Jipal Bhagwanbhai Patel
• Maulikkumar Patel, MD
• Melissa Patrick
• Patriots Medical Transport LLC
• Amanda Patterson
• Jacqueline Patterson
• Pavilion Surgical Associates, LLC
• Wendy Pazdur, ICADC

• Social Worker in Covington, GA
• Providers in Covington, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2026; 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.