Provider Demographics
NPI:1043607591
Name:PATRICIAN SERVICES, LC
Entity Type:Organization
Organization Name:PATRICIAN SERVICES, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-710-9400
Mailing Address - Street 1:9332 ANNAPOLIS RD
Mailing Address - Street 2:STE 309
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3113
Mailing Address - Country:US
Mailing Address - Phone:301-710-9400
Mailing Address - Fax:888-818-6466
Practice Address - Street 1:9332 ANNAPOLIS RD
Practice Address - Street 2:STE 309
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3113
Practice Address - Country:US
Practice Address - Phone:301-710-9400
Practice Address - Fax:888-818-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty