Active NPI
Patrick Mobray McCaghren, LCSW LICENSED CLINIC
- Clinical Social Worker
- Cooper City, FL
National Provider Identifier
1972689115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW0002717
- Practice address
- 10000 Stirling Rd
#6
Cooper City, FL 33024 - Phone
- (954) 436-8326
- Fax
- (954) 433-0603
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0002717 | FL | Primary |
Addresses
Primary practice location
10000 Stirling Rd
#6
Cooper City, FL 33024
Mailing address
10000 Stirling Rd
#6
Cooper City, FL 33024
Phone (954) 436-8326
Other names 1
- Patrick M McCaghren
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 |
|---|---|---|---|
| SW0002717 | FL | MD | Clinical Social Worker |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972689115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 STIRLING RD",
"address_2": "#6",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-436-8326",
"fax_number": "954-433-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 STIRLING RD",
"address_2": "#6",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-436-8326",
"fax_number": "954-433-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAGHREN",
"first_name": "PATRICK",
"middle_name": "MOBRAY",
"name_prefix": "Mr.",
"credential": "LCSW LICENSED CLINIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW0002717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICK",
"last_name": "MCCAGHREN",
"middle_name": "M",
"credential": "LCSW PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cooper City, FL
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.