Active NPI
Mellie Faye Patterson, LCSW
- Clinical Social Worker
- Price, UT
National Provider Identifier
1609932300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 279767-3501
- Practice address
- 23 South Carbon Ave Ste 10
Price, UT 84501 - Phone
- (435) 637-4852
- Fax
- (435) 637-6037
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 279767-3501 | UT | Primary |
Addresses
Primary practice location
23 South Carbon Ave Ste 10
Price, UT 84501
Mailing address
P.O. Box 331
Wellington, UT 84542-0331
Phone (435) 637-7574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279767-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609932300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 331",
"city": "WELLINGTON",
"state": "UT",
"postal_code": "845420331",
"telephone_number": "435-637-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SOUTH CARBON AVE STE 10",
"city": "PRICE",
"state": "UT",
"postal_code": "84501",
"telephone_number": "435-637-4852",
"fax_number": "435-637-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MELLIE",
"middle_name": "FAYE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "279767-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.