Patricia Lee Mashburn, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011504 Issued in NC

Practice address

831 Sabalu Rd
Fort Leavenworth, KS 66027-2315

Phone

(913) 758-9891

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1992165757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SABALU RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272315",
            "telephone_number": "913-758-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SABALU RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272315",
            "telephone_number": "913-758-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahc
• Brent Mair, RN
• Joshua Adam Mandeville, D.O.
• Joseph Frank Maranto, O.D.
• David Dale Marn, D.C.
• Lisa Heatly Masterson, MD
• Mary C Mathia, RN
• Michael McCaffrie, CHIROPRACTOR
• Myron B. McDaniels, M.D.
• Valerie Lynn McDougall Kestner, MD

• Clinical Social Worker in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.