Individual provider Active NPI

Pat Trim, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1790725232
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0004697 Issued in FL
Practice address
603 N Wymore Rd
Winter Park, FL 32789-2828
Phone
(407) 645-0000
Fax
(407) 645-0327
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0004697 FL Primary

Addresses

Primary practice location

603 N Wymore Rd
Winter Park, FL 32789-2828

Mailing address

603 N Wymore Rd
Winter Park, FL 32789-2828
Phone (407) 645-0000

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

LicenseStateTypeSpecialty
SW0004697FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph L. Trim, M.a., P.a. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1790725232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892828",
            "telephone_number": "407-645-0000",
            "fax_number": "407-645-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892828",
            "telephone_number": "407-645-0000",
            "fax_number": "407-645-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIM",
        "first_name": "PAT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0004697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.