Individual provider Active NPI

Patricia R Horrocks, LMSW

  • Clinical Social Worker
  • Herkimer, NY
National Provider Identifier
1619224425
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
030830-1 Issued in NY
Practice address
205 N Main St
Herkimer, NY 13350-1918
Phone
(315) 866-7630
Fax
(315) 866-0193
NPI assigned
Aug 10, 2012
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 030830-1 NY Primary

Addresses

Primary practice location

205 N Main St
Herkimer, NY 13350-1918

Mailing address

205 N Main St
Herkimer, NY 13350-1918
Phone (315) 866-7630

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

LicenseStateTypeSpecialty
030830-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1619224425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501918",
            "telephone_number": "315-866-7630",
            "fax_number": "315-866-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501918",
            "telephone_number": "315-866-7630",
            "fax_number": "315-866-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORROCKS",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "030830-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.