Provider Demographics
NPI:1073881520
Name:PATTI, DENISE SCHNEIDER (MSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:SCHNEIDER
Last Name:PATTI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WIERK AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754-2117
Mailing Address - Country:US
Mailing Address - Phone:845-295-4124
Mailing Address - Fax:
Practice Address - Street 1:6 WIERK AVENUE
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-0020
Practice Address - Country:US
Practice Address - Phone:845-295-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037184-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool