Provider Demographics
NPI:1477802460
Name:JANET M. PATTERSON LLC
Entity Type:Organization
Organization Name:JANET M. PATTERSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MFT, MSW
Authorized Official - Phone:262-337-1437
Mailing Address - Street 1:400 GENESEE ST.
Mailing Address - Street 2:SUITE B
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-1801
Mailing Address - Country:US
Mailing Address - Phone:262-337-1437
Mailing Address - Fax:262-361-8217
Practice Address - Street 1:400 GENESEE ST.
Practice Address - Street 2:SUITE B
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1801
Practice Address - Country:US
Practice Address - Phone:262-337-1437
Practice Address - Fax:262-361-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7871-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty