Patrick J Cayouette, LMSW, CSAT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080420-1 Issued in NY

Practice address

21 Willow Pond Way Ste 103
Penfield, NY 14526-2687

Phone

(585) 385-6030

Fax

(585) 385-6168

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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.

• Agape Counseling Associates Inc

  • Clinical Social Worker
  • Penfield, NY
  • NPI 1174657712

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2019.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1982165270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY STE 103",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-385-6030",
            "fax_number": "585-385-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY STE 103",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-385-6030",
            "fax_number": "585-385-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYOUETTE",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LMSW, CSAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080420-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL",
            "identifier": "16-1185139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Cannon-Bailey, LMSW
• Rosanna Marie Carbone, PHARMD
• Suzanne M Cashmere, CCC-SLP, TSSLD
• Andrew C Casini, OT
• Emily Catone, NP
• Isabel Chandler, MS
• Michele Chantra, PHARM D
• Christopher J Charleton
• Sabrina Choi, CRNP
• Melinda Christiano, OTR/L

• All providers in Penfield, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.