Provider Demographics
NPI:1326220658
Name:OSTERBERGER, PATRICIA FORD (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:FORD
Last Name:OSTERBERGER
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 MERRIMON AVE STE C
Mailing Address - Street 2:# 368
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2467
Mailing Address - Country:US
Mailing Address - Phone:828-215-1430
Mailing Address - Fax:
Practice Address - Street 1:6 LOCUST ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-8473
Practice Address - Country:US
Practice Address - Phone:828-215-1430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0126821041C0700X
NC21693101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)