Active NPI
Patricia M McCarthy, LICSW
- Social Worker
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4734C
- Practice address
- 103A Spenryn Dr.
Madison, AL 35758-3818 - Phone
- (734) 726-0253
- NPI assigned
- Sep 15, 2011
- Last updated
- May 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4734C | AL | MD | Social Worker |
| 121225 | MA | MD | Social 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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1598167371
-
- Social Worker
- Madison, AL
- NPI 1548939358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.