Individual provider Active NPI

Patricia Anne Gaffney, LCSW, LCSW-C

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1669500476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6871 Issued in FL
Practice address
197 SW Monterey Rd
Stuart, FL 34994-4641
Phone
(772) 283-7080
Fax
(772) 781-8690
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6871 FL Primary
Clinical Social Worker 1041C0700X 03341 MD

Addresses

Primary practice location

197 SW Monterey Rd
Stuart, FL 34994-4641

Mailing address

2596 SW Regency Rd
Stuart, FL 34997-1222
Phone (772) 283-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 7, 2015 through Aug 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03341MDMDClinical Neuropsychologist
SW6871FLMDClinical Social Worker
03342MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669500476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 SW REGENCY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971222",
            "telephone_number": "772-283-7080",
            "fax_number": "772-781-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 SW MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944641",
            "telephone_number": "772-283-7080",
            "fax_number": "772-781-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "LCSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6871",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.