Active NPI
Patrick M. McCorry, LCSW
- Clinical Social Worker
- Santa Rosa Beach, FL
National Provider Identifier
1770127094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18716
- Practice address
- 156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349 - Phone
- (850) 359-6444
- Fax
- (850) 502-8091
- NPI assigned
- Oct 30, 2019
- Last updated
- May 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18648 | LA | |
| Clinical Social Worker | 1041C0700X | 114120 | TX | |
| Clinical Social Worker | 1041C0700X | SW18716 | FL | Primary |
Addresses
Primary practice location
156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349
Mailing address
156 N County Highway 393 Unit 7
Santa Rosa Beach, FL 32459-5349
Phone (850) 359-6444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW18716 | FL | MD | Clinical Social Worker |
| 18648 | LA | MD | Clinical Social Worker |
| 114120 | TX | MD | Clinical Social Worker |
Organizations & group practices 1
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
- Santa Rosa Beach, FL
- NPI 1013549328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1770127094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 N COUNTY HIGHWAY 393 UNIT 7",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595349",
"telephone_number": "850-359-6444",
"fax_number": "850-502-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 N COUNTY HIGHWAY 393 UNIT 7",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595349",
"telephone_number": "850-359-6444",
"fax_number": "850-502-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORRY",
"first_name": "PATRICK",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "18648",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "114120",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.