Individual provider Active NPI

Patrice Hortense Barden, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1720758923
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111270 Issued in MI
Practice address
2800 Stone School Rd RM 112
Ann Arbor, MI 48104-7434
Phone
(734) 973-9167
NPI assigned
Sep 18, 2021
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801111270 MI Primary

Addresses

Primary practice location

2800 Stone School Rd RM 112
Ann Arbor, MI 48104-7434

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

11126 Wayne Rd Ste 2
Romulus, MI 48174-1473
Phone (734) 921-3001

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provision Company, LLC Clinical Current Accepting new patients
Regents of the University of Michigan PastSince Dec 28, 2022 Accepting new patients
Reliance Counseling, LLC. PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1720758923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STONE SCHOOL RD RM 112",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047434",
            "telephone_number": "734-973-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11126 Wayne Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Romulus",
            "state": "MI",
            "postal_code": "481741473",
            "country_code": "US",
            "telephone_number": "734-921-3001",
            "fax_number": "734-527-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDEN",
        "first_name": "PATRICE",
        "middle_name": "HORTENSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.