Individual provider Active NPI

Joseph Patyjewicz, LCSW

  • Clinical Social Worker
  • Plattsburgh, NY
National Provider Identifier
1801995709
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
025133 Issued in NY
Practice address
206 Margaret St
Plattsburgh, NY 12901-1614
Phone
(518) 566-6838
Fax
(518) 566-6846
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 025133 NY
Clinical Social Worker 1041C0700X 025133 NY Primary

Addresses

Primary practice location

206 Margaret St
Plattsburgh, NY 12901-1614

Mailing address

5 Mason Dr
Plattsburgh, NY 12901-1318
Phone (518) 562-8982

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025133NYMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1801995709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MASON DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011318",
            "telephone_number": "518-562-8982",
            "fax_number": "518-562-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011614",
            "telephone_number": "518-566-6838",
            "fax_number": "518-566-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATYJEWICZ",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "025133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "025133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.