Provider Demographics
NPI:1558421909
Name:BALDUCCI, PATRICIA J (LCSWC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:J
Last Name:BALDUCCI
Suffix:
Gender:F
Credentials:LCSWC
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 99
Mailing Address - Street 2:
Mailing Address - City:CONOWINGO
Mailing Address - State:MD
Mailing Address - Zip Code:21918-0099
Mailing Address - Country:US
Mailing Address - Phone:410-378-9696
Mailing Address - Fax:410-378-0787
Practice Address - Street 1:29787 JOHN J WILLIAMS HWY UNIT 8
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4097
Practice Address - Country:US
Practice Address - Phone:800-818-8680
Practice Address - Fax:800-818-8680
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD036401041C0700X
DEQ1-00013301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKC83K1OtherBLUE CROSS BLUE SHIELD
MD100026715001OtherAPS
MDT460OtherBLUE CHOICE
MDT460OtherBLUE CHOICE