Provider Demographics
NPI:1225573546
Name:PENCIL, PATRICIA V (LCSW-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:V
Last Name:PENCIL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 ASCOT LN APT 21
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1553
Mailing Address - Country:US
Mailing Address - Phone:908-884-9138
Mailing Address - Fax:
Practice Address - Street 1:2000 PERIMETER PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8442
Practice Address - Country:US
Practice Address - Phone:984-215-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0104441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical