Provider Demographics
NPI:1598832610
Name:CLIFFORD, PATRICIA FILIPAKIS (LCSWR)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:FILIPAKIS
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SPLIT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1761
Mailing Address - Country:US
Mailing Address - Phone:914-837-7743
Mailing Address - Fax:
Practice Address - Street 1:358 N BROADWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2322
Practice Address - Country:US
Practice Address - Phone:914-837-7743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR052574-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical