Provider Demographics
NPI:1003077165
Name:SANDS, PATRICIA LIMON (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LIMON
Last Name:SANDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:273 MAIN ST
Mailing Address - Street 2:STE 2
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6753
Mailing Address - Country:US
Mailing Address - Phone:207-415-3649
Mailing Address - Fax:844-839-4800
Practice Address - Street 1:273 MAIN ST
Practice Address - Street 2:STE 2
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6753
Practice Address - Country:US
Practice Address - Phone:207-415-3649
Practice Address - Fax:844-839-4800
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC115591041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432295899Medicaid
ME432295899Medicaid