Provider Demographics
NPI:1366640187
Name:BOOKER, PATRICE WILLIAMS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:WILLIAMS
Last Name:BOOKER
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 1:1347 OWLTREE CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7595
Mailing Address - Country:US
Mailing Address - Phone:832-496-2828
Mailing Address - Fax:
Practice Address - Street 1:1347 OWLTREE CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-7595
Practice Address - Country:US
Practice Address - Phone:832-496-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical