Active NPI
Thomas Paul Patterson, LMSW
- Social Worker
- Ames, IA
National Provider Identifier
1972804870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 007617
- Practice address
- 1619 S High Ave
Ames, IA 50010-8055 - Phone
- (515) 232-5811
- Fax
- (515) 232-3780
- NPI assigned
- Nov 9, 2010
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 007617 | IA | Primary |
Addresses
Primary practice location
1619 S High Ave
Ames, IA 50010-8055
Mailing address
1619 South High Avenue
The Richmond Center
Ames, IA 50010
Phone (515) 232-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702003425 | IA | Practitioner - Clinical Social Worker | 9931568185 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007617 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Brook Counseling Professionals, LLC | Current | Accepting new patients |
Locations
614 Billy Sunday Rd
Ste 100
Ames, IA 50010
Phone (515) 337-0480
Organizations & group practices 1
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": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1972804870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 SOUTH HIGH AVENUE",
"address_2": "THE RICHMOND CENTER",
"city": "AMES",
"state": "IA",
"postal_code": "50010",
"telephone_number": "515-232-5811",
"fax_number": "515-232-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 S HIGH AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500108055",
"telephone_number": "515-232-5811",
"fax_number": "515-232-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "THOMAS",
"middle_name": "PAUL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "007617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.