Pattra Farthing Dodd, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1901 S 25TH St
Suite 103
Fort Pierce, FL 34947-4711

Phone

(772) 595-5150

Fax

(772) 595-6560

NPI assigned

Dec 31, 2012

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

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390608000000",
    "number": "1942546551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 25TH ST",
            "address_2": "SUITE 103",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474711",
            "telephone_number": "772-595-5150",
            "fax_number": "772-595-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 25TH ST",
            "address_2": "SUITE 103",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474711",
            "telephone_number": "772-595-5150",
            "fax_number": "772-595-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "PATTRA",
        "middle_name": "FARTHING",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2014-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.