Melinda Pettingill Patterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6365751-3502 Issued in UT

Practice address

1291 S 1100 E Ste 201
Salt Lake City, UT 84105

Phone

(180) 175-5979

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melinda Pettingill Patterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1578604179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 S 1600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053846",
            "telephone_number": "801-755-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 S 1100 E STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84105",
            "telephone_number": "180-175-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 E Pages Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840142216",
            "country_code": "US",
            "telephone_number": "801-294-0578",
            "fax_number": "801-298-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 S 1300 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841053613",
            "country_code": "US",
            "telephone_number": "801-755-9793",
            "fax_number": "801-755-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MELINDA",
        "middle_name": "PETTINGILL",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6365751-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6365751-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "PATTERSON",
            "middle_name": "PETTINGILL",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Patterson
• Hannah Lyn Patterson
• Josef Patterson, DC
• Joshua Allen Patterson
• Laurie A Patterson, DC
• Miller Patterson
• Paige Allen Patterson, M.D.
• Richard John Patterson, M.D.
• Jacob Pattillo, ATC
• Beverly Pattison

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.