Provider Demographics
NPI:1164845764
Name:PATTERSON, SARAH ANN (LCSW-A)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:ISSENMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:501 BILTMORE AVE STE G276.10
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4601
Mailing Address - Country:US
Mailing Address - Phone:828-213-4502
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0084581041C0700X
NCC0098241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical