Provider Demographics
NPI:1144231572
Name:GARBER, PATRICIA ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELLEN
Last Name:GARBER
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 1:101 LONG PASTURE WAY
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-4825
Mailing Address - Country:US
Mailing Address - Phone:401-816-0072
Mailing Address - Fax:
Practice Address - Street 1:386 STANLEY ST
Practice Address - Street 2:STANLEY STREET TREATMENT AND RESOURCES
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-324-3549
Practice Address - Fax:508-679-3678
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1145881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008464OtherBMC MASS HEALTH
MA725921OtherTUFTS
MATAX IDOtherHCVM
MA1306685OtherMBHP - MASS HEALTH
MA1002950OtherBEACON
MA1306685Medicaid
MAA005312/008588OtherVALUE OPTIONS BC/BS