Provider Demographics
NPI:1043563992
Name:NARCISSE, PATRICK WARD (MSW, ACSW, MFPT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:WARD
Last Name:NARCISSE
Suffix:
Gender:M
Credentials:MSW, ACSW, MFPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11822 SILVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-9903
Mailing Address - Country:US
Mailing Address - Phone:704-421-3425
Mailing Address - Fax:704-573-4314
Practice Address - Street 1:11822 SILVERCREST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-9903
Practice Address - Country:US
Practice Address - Phone:704-421-3425
Practice Address - Fax:704-573-4314
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPN717232MF106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist