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DR. CLEO PATRICK PHD, LCSW, LICSW
NPI 1275888943
Social Worker - Clinical in Mountain Home Afb, ID

Active since July 19, 2012PECOS Enrolled
366 GUNFIGHTER AVE # 366MDG, MOUNTAIN HOME AFB, ID 83648(208) 828-7655 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Oct 25, 2016 (2 updates tracked since 2016).

About Dr. Cleo Patrick Phd, Lcsw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLEO PATRICK PHD, LCSW, LICSW (NPI 1275888943) is an individual clinical provider in Mountain Home Afb, Idaho, licensed in Idaho (LCSW-34797) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275888943
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. CLEO PATRICKCredential: PHD, LCSW, LICSW
Location Address366 GUNFIGHTER AVE # 366MDGMountain Home Afb, ID 83648-5258
Mailing Address5955 Zeamer Ave # 673mdgJber, AK 99506-3702 · (907) 580-3205
Phone(208) 828-7655
Sole ProprietorYes
Enumeration DateJuly 19, 2012
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1275888943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ID · LCSW-34797✔ Licensed in WA · 61261680
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
366 GUNFIGHTER AVE # 366MDG, Mountain Home Afb, ID 83648
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cleo Patrick Phd, Lcsw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleo Patrick's NPI number?

The NPI number for Cleo Patrick is 1275888943. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Cleo Patrick located?

Cleo Patrick practices at 366 Gunfighter Ave # 366mdg, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7655.

What is Cleo Patrick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cleo Patrick enrolled in Medicare?

Yes. Cleo Patrick is registered in the Medicare PECOS enrollment system.

What insurance does Cleo Patrick accept?

Health plans from Moda Health Plan, Inc. list Cleo Patrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleo Patrick was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.