Active NPI
Lynn Kim Patterson, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1679943286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109489
- Practice address
- 3516 NE Rock Creek Dr
Kansas City, MO 64116-2874 - Phone
- (816) 585-2612
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8742 | KS | |
| Clinical Social Worker | 1041C0700X | 2012041795 | MO | |
| Clinical Social Worker | 1041C0700X | 109489 | TX | Primary |
Addresses
Primary practice location
3516 NE Rock Creek Dr
Kansas City, MO 64116-2874
Mailing address
4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309
Phone (323) 205-7088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016025855 | Other | MO | LICENSE |
| 05370 | Other | KS | LCSW |
| 109489 | Other | TX | LCSW |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8742 | KS | MD | Clinical Social Worker |
| 2012041795 | MO | MD | Clinical Social Worker |
| 109489 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690070400000",
"number": "1679943286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 W SUNSET BLVD STE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276309",
"telephone_number": "323-205-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 NE ROCK CREEK DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641162874",
"telephone_number": "816-585-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LYNN",
"middle_name": "KIM",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2023-07-23",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "8742",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2012041795",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "109489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2016025855",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "05370",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "109489",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.