Active NPI
Patrick W Rathbun, LCSW
- Social Worker
- Florence, MA
National Provider Identifier
1730687765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 223364
- Practice address
- 29 N Main St
Florence, MA 01062-1287 - Phone
- (413) 586-2973
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 223364 | MA | Primary |
Addresses
Primary practice location
29 N Main St
Florence, MA 01062-1287
Mailing address
897 Ryan Rd
Florence, MA 01062-3647
Phone (413) 230-8205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 20, 2022 through Sep 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223364 | MA | MD | Social Worker |
| 123070 | MA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1730687765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 RYAN RD",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010623647",
"telephone_number": "413-230-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N MAIN ST",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621287",
"telephone_number": "413-586-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN",
"first_name": "PATRICK",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "223364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.