Chad J Patterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69543 Issued in TX

Practice address

507 Denali Pass Ste 201
Cedar Park, TX 78613-7979

Phone

(512) 434-0716

NPI assigned

Sep 8, 2020

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Previously, effective Jul 31, 2024 through Jul 31, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 2510 Collective, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Park, TX
  • NPI 1669192886
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1649884669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 HARVEST BEND LN",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134152",
            "telephone_number": "512-434-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 DENALI PASS STE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137979",
            "telephone_number": "512-434-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CHAD",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupal Patel
• Seema Patel, D.M.D.
• Smita C Patel, MD
• Supriya Girishkumar Patel, DDS
• Path to Victory Counseling
• Ethan Matthew Patterson, M.ED, LPC-ASSOCIATE
• Heather E Patterson, DPT ATC
• Julie Ann Patterson, CPNP-PC
• Kelly Drake Patterson, SLP
• Bette J Paulsen, FNP-BC

• Clinical Social Worker in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.