Active NPI
Linda Patrick, CAADE
- Addiction (Substance Use Disorder) Counselor
- Norwalk, CA
National Provider Identifier
1992138317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 051202
- Practice address
- 12440 Firestone Blvd
Norwalk, CA 90650-4328 - Phone
- (562) 864-3722
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 051202 | CA | Primary |
Addresses
Primary practice location
12440 Firestone Blvd
Norwalk, CA 90650-4328
Mailing address
6074 Dennison St
Los Angeles, CA 90022-4408
Phone (323) 787-7047
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 |
|---|---|---|---|
| 051202 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1992138317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6074 DENNISON ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900224408",
"telephone_number": "323-787-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504328",
"telephone_number": "562-864-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "LINDA",
"name_prefix": "Miss",
"credential": "CAADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "051202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.