Individual
LARRY M. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00454215
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005456001
—
WV
01
—
001718253
MSBCBS
WV
01
—
023533000
MAGELLAN MIS NUMBER
WV
01
—
2070074
CIGNA ID NUMBER
WV
01
—
Y340644
HEALTH PLAN ID NUMBER
WV
Enumeration date
12/06/2006
Last updated
05/26/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up