Individual provider Active NPI

Patricia G. Nevel, LCSW

  • Clinical Social Worker
  • Rancho Mirage, CA
National Provider Identifier
1841330149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14456 Issued in CA
Practice address
42600 Bob Hope Dr
Suite 407
Rancho Mirage, CA 92270-4491
Phone
(760) 564-6404
Fax
(760) 396-9478
NPI assigned
Feb 7, 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 LCS14456 CA Primary

Addresses

Primary practice location

42600 Bob Hope Dr
Suite 407
Rancho Mirage, CA 92270-4491

Mailing address

42600 Bob Hope Dr
Suite 407
Rancho Mirage, CA 92270-4491
Phone (760) 564-6404

Other identifiers 3

IdentifierTypeStateIssuer
7155331OtherCAAETNA
284687OtherCAVALUE OPTIONS
049834OtherCAMHN

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
LCS14456CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841330149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 BOB HOPE DR",
            "address_2": "SUITE 407",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704491",
            "telephone_number": "760-564-6404",
            "fax_number": "760-396-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 BOB HOPE DR",
            "address_2": "SUITE 407",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704491",
            "telephone_number": "760-564-6404",
            "fax_number": "760-396-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVEL",
        "first_name": "PATRICIA",
        "middle_name": "G.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7155331",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "284687",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "049834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • 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.