Mary Connare Pratt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22004 Issued in CA

Practice address

23161 Lake Center Dr
Lake Forest, CA 92630-6803

Phone

(949) 273-8833

Fax

(949) 273-8834

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831265818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25541 PACIFIC HILLS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925047",
            "telephone_number": "949-584-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 LAKE CENTER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306803",
            "telephone_number": "949-273-8833",
            "fax_number": "949-273-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MARY",
        "middle_name": "CONNARE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert M Portugal, D.C.
• Megan Elizabeth Poupard, LMFT
• Sam Pourbabak, MD
• Monica Marie Powers, PSYD
• Kevin M Pratt
• Preventive Nutrition for Life, LLC
• Alyssa Price, D.C.
• Stefanie Price
• Monte George Pries, PHD
• Christian Marie Prietto, M.A.

• Clinical Social Worker in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.