Individual provider Active NPI

Patricia M McCarthy, LICSW

  • Social Worker
  • Madison, AL
National Provider Identifier
1740562735
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4734C Issued in AL
Practice address
103A Spenryn Dr.
Madison, AL 35758-3818
Phone
(734) 726-0253
NPI assigned
Sep 15, 2011
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 6801095966 MI
Social Worker 104100000X 121225 MA
Social Worker 104100000X 4734C AL Primary

Addresses

Primary practice location

103A Spenryn Dr.
Madison, AL 35758-3818

Mailing address

103A Spenryn Dr.
Madison, AL 35758-3818
Phone (734) 726-0253

Other practice location 1

10 Common Rd Ste 582
Ashby, MA 01431-2323
Phone (734) 726-0253

Other practice location 2

1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220
Phone (734) 726-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416000668 MI Practitioner - Clinical Social Worker 2264862143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Womens Center of Southeastern MichiganGroup PAC ID 7618298696, 9 clinicians

Practice addresses (Care Compare)

1100 Victors Way
Suite 10
Ann Arbor, MI 48108-5220
Phone (734) 973-6779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4734CALMDSocial Worker
121225MAMDSocial Worker

Organizations & group practices 2

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1740562735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A SPENRYN DR.",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583818",
            "telephone_number": "734-726-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A SPENRYN DR.",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583818",
            "telephone_number": "734-726-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Common Rd Ste 582",
            "address_purpose": "LOCATION",
            "city": "Ashby",
            "state": "MA",
            "postal_code": "014312323",
            "country_code": "US",
            "telephone_number": "734-726-0253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Victors Way Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481085220",
            "country_code": "US",
            "telephone_number": "734-726-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095966",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "121225",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4734C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.