Raymond Patke, Jr in Colorado Springs - Clinical
Raymond Patke, Jr - NPI 1477673788
Raymond Patke, Jr is a Clinical in Colorado Springs, Colorado. Raymond Patke, Jr practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raymond Patke, Jr is 1477673788. The last update date is 2007-07-09.
Raymond Patke, Jr's current location address is 17 Farragut Ave, Colorado Springs, Colorado. You can contact this provider via phone number 7196362122 and fax number 7196361116. The mailing address for Raymond Patke, Jr is 17 Farragut Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond Patke, Jr |
|---|---|
| Address | 17 Farragut Ave, Colorado Springs, Colorado |
| Phone Number | 7196362122 |
| Fax Number | 7196361116 |
| Sole Proprietor | Y |
| Credentials | LSCW |
NPI Number Detail
| NPI Number | 1477673788 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 17 Farragut Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809095686 |
| Phone Number | 7196362122 |
| Fax Number | 7196361116 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW 992530 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61579343 | CO | -- |
Post Comment/ Review Below
What is the Raymond Patke, Jr's unique identification number?
The Raymond Patke, Jr has been assigned the NPI (National Provider Identifier) Number 1477673788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Raymond Patke, Jr?
The Raymond Patke, Jr is physically situated at 17 Farragut Ave, in the city of Colorado Springs, state of CO, with the postal code 809095686.
What is the Raymond Patke, Jr's area of specialization and corresponding taxonomy classification?
The Raymond Patke, Jr's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1477673788 to Raymond Patke, Jr?
The Centers for Medicare & Medicaid Services assigned the 1477673788 to Raymond Patke, Jr on 2007-03-30.
As of what date were the Raymond Patke, Jr's details last updated?
The information pertaining to the Raymond Patke, Jr, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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