NPIMap

Individual provider Active NPI

Richard J Patterson, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1902953532
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW1015 Issued in ID
Practice address
366 SW 5TH Ave
Suite 100
Meridian, ID 83642-8600
Phone
(208) 898-9755
Fax
(208) 898-2544
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 LCSW1015 ID Primary

Addresses

Primary practice location

366 SW 5TH Ave
Suite 100
Meridian, ID 83642-8600

Mailing address

366 SW 5TH Ave
Suite 100
Meridian, ID 83642-8600
Phone (208) 898-9755

Other practice location 1

411 N Allumbaugh St
Boise, ID 83704-9210
Phone (208) 376-3200

Other identifiers 1

IdentifierTypeStateIssuer
L5945OtherIDBLUE CROSS OF ID

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
LCSW1015IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Behavioral Health Services Past Accepting new patients
Sara Hill, LCSW, LLC PastSince Jun 22, 2015 Accepting new patients
A Better Day Counseling Services, PA Clinical PastSince Jul 1, 2008 Accepting new patients
Ascent Behavioral Health Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1902953532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SW 5TH AVE",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428600",
            "telephone_number": "208-898-9755",
            "fax_number": "208-898-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SW 5TH AVE",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428600",
            "telephone_number": "208-898-9755",
            "fax_number": "208-898-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 N Allumbaugh St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049210",
            "country_code": "US",
            "telephone_number": "208-376-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "L5945",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.