Provider Demographics
NPI:1356460778
Name:MURPHY, PATRICIA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:MURPHY
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 1:58 WOODSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-2238
Mailing Address - Country:US
Mailing Address - Phone:917-570-9616
Mailing Address - Fax:
Practice Address - Street 1:58 WOODSIDE CIR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-2238
Practice Address - Country:US
Practice Address - Phone:917-570-9616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039914-11041C0700X
CT0085941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY15729OtherVALUE OPTIONS PROVIDER ID
NY7480790OtherGHI ID
NY1061110OtherBEACON HLTH STRATS PROVID
NY263059OtherMHN PROVIDER ID
NY01994967Medicaid
NYP782074OtherOXFORD ID NUMBER
NY1061110OtherBEACON HLTH STRATS PROVID
NYPM0N8B3210Medicare ID - Type Unspecified10 DIGIT MEDICARE NUMBER
NY263059OtherMHN PROVIDER ID