Patricia Mary Childress, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16130 Issued in FL

Practice address

1095 Whippoorwill LN
Naples, FL 34105-3847

Phone

(239) 357-0103

NPI assigned

Mar 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1730714478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 WHIPPOORWILL LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053847",
            "telephone_number": "239-357-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 WHIPPOORWILL LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053847",
            "telephone_number": "239-357-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.childress@avowcares.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1095 Whippoorwill Ln",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341053847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne M Chidsey
• David Lawrence Chilcote II, MSW
• Children Services of FL, Inc.
• Children Services of Florida, Inc.
• Children'S Dentistry of Naples
• Brian Geoffrey Childs, D.D.S.
• Janet Sierra Childs, D.D.S.
• Brenda Chilstrom, OTR/L
• Kristy Lee Chinea, APRN
• Christina Chirco, ATC

• Clinical Social Worker in Naples, FL
• Providers in Naples, 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 Mar 3, 2020; 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.