Provider Demographics
NPI:1235225368
Name:ZSOFKA, PATRICIA SONYA (MSW LICSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SONYA
Last Name:ZSOFKA
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244
Mailing Address - Country:US
Mailing Address - Phone:603-478-0053
Mailing Address - Fax:603-478-0053
Practice Address - Street 1:82 A PONEMAH RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031
Practice Address - Country:US
Practice Address - Phone:603-478-0053
Practice Address - Fax:603-478-0053
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
7271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30421098Medicaid
NH30421098Medicaid