Provider Demographics
NPI:1326372723
Name:ORCHARD, PATRICIA BROWN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:BROWN
Last Name:ORCHARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:BROWN
Other - Last Name:ORCHARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:200 WOODS POINT ROAD
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-0997
Mailing Address - Country:US
Mailing Address - Phone:207-374-5721
Mailing Address - Fax:207-374-5721
Practice Address - Street 1:10 WATER STREET
Practice Address - Street 2:SUITE 124
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-374-5721
Practice Address - Fax:207-374-5721
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC12181172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MELC12181OtherSTATE OF MAINE