Provider Demographics
NPI:1467098855
Name:PATTERSON, ABBEY NICOLE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ABBEY
Middle Name:NICOLE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 594
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-4594
Mailing Address - Country:US
Mailing Address - Phone:301-533-2190
Mailing Address - Fax:301-533-2198
Practice Address - Street 1:69 WOLF ACRES DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-2048
Practice Address - Country:US
Practice Address - Phone:301-533-2190
Practice Address - Fax:301-533-2198
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24796104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker