Provider Demographics
NPI:1275304065
Name:WINTER, PATRICIA MARY (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARY
Last Name:WINTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CLUB HOUSE DR UNIT 2H
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3628
Mailing Address - Country:US
Mailing Address - Phone:845-464-3136
Mailing Address - Fax:
Practice Address - Street 1:20 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2596
Practice Address - Country:US
Practice Address - Phone:845-452-1110
Practice Address - Fax:845-790-5998
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06430101104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker