Active NPI
Patrick William Cabbage, MSW, LICSW
- Clinical Social Worker
- Spokane Valley, WA
National Provider Identifier
1720204092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004055
- Practice address
- 100 N Mullan Rd
Spokane Valley, WA 99206-6848 - Phone
- (509) 926-6581
- Fax
- (509) 921-1375
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00004055 | WA | Primary |
Addresses
Primary practice location
100 N Mullan Rd
Spokane Valley, WA 99206-6848
Mailing address
100 N Mullan Rd
Spokane Valley, WA 99206-6848
Phone (509) 926-6581
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004055 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720204092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N MULLAN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066848",
"telephone_number": "509-926-6581",
"fax_number": "509-921-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MULLAN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066848",
"telephone_number": "509-926-6581",
"fax_number": "509-921-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABBAGE",
"first_name": "PATRICK",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.