Provider Demographics
NPI:1407335532
Name:WESTCOTT, PATRICIA ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:WESTCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:WESTCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1100 CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5066
Mailing Address - Country:US
Mailing Address - Phone:405-826-3247
Mailing Address - Fax:
Practice Address - Street 1:1100 CAPITOL DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-5066
Practice Address - Country:US
Practice Address - Phone:405-826-3247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical