Provider Demographics
NPI:1063490969
Name:TOCCI, PATRICIA A (LICSW08)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:TOCCI
Suffix:
Gender:F
Credentials:LICSW08
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-0071
Mailing Address - Country:US
Mailing Address - Phone:508-758-3754
Mailing Address - Fax:508-758-3755
Practice Address - Street 1:19 COUNTY RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1584
Practice Address - Country:US
Practice Address - Phone:508-758-3754
Practice Address - Fax:508-758-3754
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10207221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1857568Medicaid
MA007154OtherVALUE OPTIONS, INC
MA02558OtherVMC BEHAVIORAL HEALTH
MAPO6361OtherBCBSMA
MA912000OtherNO. AMERICAN HEALTH PLAN
MA625142OtherUHC NE/UBH/UNITED HEALTHC
MA20901-8OtherBCBSRI
MA211707OtherMHN
MA25987Medicaid
MA1857568Medicaid