Provider Demographics
NPI:1215028758
Name:PATTERSON, LINDA STEVENS (LICSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:STEVENS
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MAY ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2241
Mailing Address - Country:US
Mailing Address - Phone:413-458-9530
Mailing Address - Fax:
Practice Address - Street 1:741 NORTH ST
Practice Address - Street 2:FAMILY CENTER
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4109
Practice Address - Country:US
Practice Address - Phone:413-447-2145
Practice Address - Fax:413-447-3245
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1059761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA33169OtherHEALTH NEW ENGLAND
MAP20839Medicare ID - Type Unspecified