Trakeeta Patterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006633 Issued in GA

Practice address

3401 Norman Berry Dr Ste 255
Atlanta, GA 30344-5102

Phone

(404) 386-1920

NPI assigned

Mar 10, 2014

Last updated

Jul 15, 2023By the provider in NPPES

Sex

Female

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)

Enrolled

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.

• Dream Again Therapy Services LLC

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1518576883
  Authorized official Same address or phone

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1598181901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ASSOLAS CT",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132497",
            "telephone_number": "912-398-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORMAN BERRY DR STE 255",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445102",
            "telephone_number": "404-386-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TRAKEETA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moneka Angilene Patterson, APRN
• Paul Patterson
• Pickens Andrew Patterson III, MD
• Randolph E Patterson, MD
• Sandra Sims Patterson, PH.D.
• Farrah D Patti, FNP-BC
• Varun Pattisapu, M.D.
• Amy Pattishall, MD
• Alexandria Patton
• Anna Patton, CPNP

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.