Active NPI
Patricia Ann Pacynski, LICSW
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1952536617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50077942
- Practice address
- 9080 Beale Rd
Building 62, Room 3055
Bethesda, MD 20889-5633 - Phone
- (301) 400-0414
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50077942 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 050397 | NY |
Addresses
Primary practice location
9080 Beale Rd
Building 62, Room 3055
Bethesda, MD 20889-5633
Mailing address
4402 Bowen Rd SE
Washington, DC 20019-5614
Phone (202) 449-0668
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50077942 | DC | MD | Clinical Social Worker |
| 050397 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1952536617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 BOWEN RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195614",
"telephone_number": "202-449-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9080 BEALE RD",
"address_2": "BUILDING 62, ROOM 3055",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895633",
"telephone_number": "301-400-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACYNSKI",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50077942",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "050397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.