Provider Demographics
NPI:1508619149
Name:BEST, PATRICIA SHANNON (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SHANNON
Last Name:BEST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2904 13TH ST S APT 102
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4828
Mailing Address - Country:US
Mailing Address - Phone:703-927-5912
Mailing Address - Fax:
Practice Address - Street 1:1200 S CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4811
Practice Address - Country:US
Practice Address - Phone:703-927-5912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040165791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical