Provider Demographics
NPI:1528200979
Name:PATTERSON, LEYCHIA EDWARDS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEYCHIA
Middle Name:EDWARDS
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 1:2700 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-1102
Mailing Address - Country:US
Mailing Address - Phone:252-560-4028
Mailing Address - Fax:
Practice Address - Street 1:2700 BROOKHAVEN DR
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-1102
Practice Address - Country:US
Practice Address - Phone:252-560-4028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0018841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical