Provider Demographics
NPI:1154459329
Name:RAFALOW, PATRICIA E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:E
Last Name:RAFALOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TRISH
Other - Middle Name:E
Other - Last Name:RAFALOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:100 EUROPA DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2357
Mailing Address - Country:US
Mailing Address - Phone:919-942-5414
Mailing Address - Fax:919-968-1955
Practice Address - Street 1:100 EUROPA DR
Practice Address - Street 2:SUITE 502
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2357
Practice Address - Country:US
Practice Address - Phone:919-942-5414
Practice Address - Fax:919-968-1955
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0002321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40296Medicare UPIN
NC086005Medicare UPIN
NC2861825BMedicare ID - Type Unspecified
NC60239Medicare UPIN
NC10368Medicare UPIN
NC0001017893Medicare UPIN