Individual provider Active NPI

Patricia M. Slatt

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1821143884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR010163-1 Issued in NY
Practice address
25 Central Park W
Apt. 7-I
New York, NY 10023-7253
Phone
(212) 262-2540
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR010163-1 NY Primary

Addresses

Primary practice location

25 Central Park W
Apt. 7-I
New York, NY 10023-7253

Mailing address

25 Central Park W
Apt. 7-I
New York, NY 10023-7253
Phone (212) 262-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 28, 2014 through Jan 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010163NYMDClinical Psychologist
PR010163-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821143884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "APT. 7-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "212-262-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "APT. 7-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "212-262-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATT",
        "first_name": "PATRICIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR010163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.