Provider Demographics
NPI:1609878198
Name:ABBARNO, PATRICIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:ABBARNO
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 1:111 CENTER PARK DR
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2124
Mailing Address - Country:US
Mailing Address - Phone:865-693-9997
Mailing Address - Fax:865-531-0994
Practice Address - Street 1:111 CENTER PARK DR
Practice Address - Street 2:SUITE 1300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2124
Practice Address - Country:US
Practice Address - Phone:865-693-9997
Practice Address - Fax:865-531-0994
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN16615400OtherMAGELLAN PROVIDER ID
TN159137OtherVALUE OPTIONS PROVIDER ID
TN3089453OtherBLUE CROSS BLUE SHIELD
TN3089453OtherBLUE CROSS BLUE SHIELD