Provider Demographics
NPI:1609974302
Name:SCHOFIELD, PATRICIA ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:SCHOFIELD
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:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52733-0361
Mailing Address - Country:US
Mailing Address - Phone:563-242-5316
Mailing Address - Fax:563-242-3128
Practice Address - Street 1:28 E MARION ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PRINCETON
Practice Address - State:IL
Practice Address - Zip Code:61356-2093
Practice Address - Country:US
Practice Address - Phone:815-875-2192
Practice Address - Fax:815-879-0168
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14448101YA0400X
IL149009711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
222519OtherCOMPSYCH
724429OtherMAGELLAN
1609974302OtherNPI
0000632001OtherBC/BS OF ILLINOIS
724429OtherMAGELLAN