Provider Demographics
NPI:1467462606
Name:PATTERSON, LINDA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:PATTERSON
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 1:3305 ABBEY CIR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-0328
Mailing Address - Country:US
Mailing Address - Phone:432-349-4583
Mailing Address - Fax:
Practice Address - Street 1:600 CAISSON HILL ROAD
Practice Address - Street 2:ATTN: TERRY HILL, IRWIN ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-5037
Practice Address - Country:US
Practice Address - Phone:785-239-7155
Practice Address - Fax:785-239-7364
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical