Provider Demographics
NPI:1326196544
Name:SEARGEANT, PATRICIA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:SEARGEANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 REDCLIFF DR
Mailing Address - Street 2:SUITE 33
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0161
Mailing Address - Country:US
Mailing Address - Phone:530-221-4777
Mailing Address - Fax:530-221-4777
Practice Address - Street 1:448 REDCLIFF DR
Practice Address - Street 2:SUITE 33
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0161
Practice Address - Country:US
Practice Address - Phone:530-221-4777
Practice Address - Fax:530-221-4777
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS19545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ18061ZOtherPIN
CAP03219Medicare UPIN