Individual provider Active NPI

Jacquelyn Welch Patterson, MSW

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1932247616
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5821C Issued in AL
Practice address
604 Davis Cir SW
Huntsville, AL 35801-5014
Phone
(256) 289-3420
NPI assigned
Feb 2, 2007
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 5821C AL Primary

Addresses

Primary practice location

604 Davis Cir SW
Huntsville, AL 35801-5014

Mailing address

604 Davis Cir SW
Huntsville, AL 35801-5014
Phone (256) 289-3420

Other identifiers 1

IdentifierTypeStateIssuer
330000014MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20250515002123 AL Practitioner - Clinical Social Worker 3870011679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaceful Pathways LLCGroup PAC ID 6709262702, 3 clinicians

Practice addresses (Care Compare)

120 W Dublin Dr
Suite 202
Madison, AL 35758-3157
Phone (256) 929-5507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5821CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Pathways LLC Clinical CurrentSince Apr 15, 2025 Accepting new patients
Jacquelyn Patterson LLC Clinical Current Accepting new patients

Locations

604 Davis Cir SW
Huntsville, AL 35801
Phone (256) 539-4079

120 W Dublin Dr
Ste 202
Madison, AL 35758
Phone (256) 929-5507

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1932247616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 DAVIS CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015014",
            "telephone_number": "256-289-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DAVIS CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015014",
            "telephone_number": "256-289-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JACQUELYN",
        "middle_name": "WELCH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5821C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.