Patrina Anderson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09892 Issued in MD

Practice address

5920 Deborah Jean Dr
Elkridge, MD 21075-1003

Phone

(301) 388-5069

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Backpack Medical Group, P.C.

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1851177570

  Clinical, MD

  Medicare reassignment NPD
• Mending Hearts & Minds, LLC

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1376493528

  Clinical

  NPD Authorized official
• Linnel Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkridge, MD
  • NPI 1932795044
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1821675596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442419",
            "telephone_number": "866-968-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 DEBORAH JEAN DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210751003",
            "telephone_number": "301-388-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PATRINA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Linda Ammon-Platt, MPA, OT
• Faustina Amoah, PHARMD
• An Incredible Me ABA MD LLC
• Eric Anapolsky, CRNP
• Mike Anderson Jr.
• Soraya Anderson
• Sarah Andoh-Kesson
• Anesthesia Company, LLC
• Anesthesia Company, LLC
• Anesthesia Company, LLC

• All providers in Elkridge, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.