Provider Demographics
NPI:1275819187
Name:PATTERSON, CAROL (MSW, CPRP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MSW, CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1947 CENTER ST. 3RD FLOOR
Mailing Address - Street 2:MENTAL HEALTH ADMINISTRATION
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1164
Mailing Address - Country:US
Mailing Address - Phone:510-981-5217
Mailing Address - Fax:510-981-5235
Practice Address - Street 1:1947 CENTER ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1169
Practice Address - Country:US
Practice Address - Phone:510-981-5217
Practice Address - Fax:510-981-5235
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health