David Leland Patrick, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-16518 Issued in MT

Practice address

611 NW Yates Loop
Lake City, FL 32055-7101

Phone

(406) 461-1656

Fax

(406) 791-9629

NPI assigned

Mar 23, 2016

Sex

Male

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

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oasis of Hope Therapy, LLCGroup PAC ID 4880087261, 5 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment Care Compare group NPD
• Oasis of Hope Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake City, FL
  • NPI 1831857945
  Medicare reassignment Care Compare group NPD
• Silver Leaf Therapy LLC

  • Clinical Social Worker
  • Lake City, FL
  • NPI 1245155191
  Authorized official Same address or phone
• Monica L Craig NP-C LLC

  dba Integrative Direct Primary Care

  • Nurse Practitioner
  • Lake City, FL
  • NPI 1760201693
  NPD (past)
• Center for Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Great Falls, MT
  • NPI 1710450044
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1679935126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NW YATES LOOP",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557101",
            "telephone_number": "406-461-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NW YATES LOOP",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557101",
            "telephone_number": "406-461-1656",
            "fax_number": "406-791-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DAVID",
        "middle_name": "LELAND",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-16518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minesh Arun Patel, MD
• Pratikshakumari Patel, APRN
• Rashwin Jayantilal Patel
• Shephali Patel, O.D.
• Pathology Associates of North Florida
• Dayza J Paxton
• Anrico Peacock
• Joshua Ballard Pead, D.O.
• Taylen Peaden, D.O.
• David Jerome Pearson, LCSW

• Clinical Social Worker in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.