DENNIS PATTERSON (LCSW) – Clinical Social Worker, NPI 1629063805

DENNIS PATTERSON (LCSW) is a healthcare provider. based in Portsmouth, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904000396 (VA). The NPI Number for DENNIS PATTERSON (LCSW) is 1629063805

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS PATTERSON (LCSW)
NPI
1629063805
Phone
(757) 483-6404
Address
3300 ACADEMY AVE
Enumeration Date
14 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574594640
Graduation Year
1974 (52 years ago)
PAC ID
1456425263
Group Practice PAC ID
2365356169
Professional Enrollment ID
I20080728000538
Address ID
VA234624345VI260XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for DENNIS PATTERSON (LCSW)

  • Dollar General, 3300, Academy Avenue, Village At Western Branch, Churchland, Portsmouth, Virginia, 23703, United States

    PORTSMOUTH, VA 237033205

    Phone: (757) 483-6404

    Fax: (757) 483-0737

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080728000538IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365356169View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What federal number belongs to DENNIS PATTERSON (LCSW)?
The federal identifier for DENNIS PATTERSON (LCSW) is NPI 1629063805.
Is DENNIS PATTERSON (LCSW) active in the national directory?
DENNIS PATTERSON (LCSW)'s public NPI profile is in an active state.
What kind of provider is DENNIS PATTERSON (LCSW)?
The page reflects Clinical Social Worker for DENNIS PATTERSON (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place DENNIS PATTERSON (LCSW)?
The snapshot lists Portsmouth, Virginia for DENNIS PATTERSON (LCSW); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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