Provider Demographics
NPI:1619224425
Name:HORROCKS, PATRICIA R (LMSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:R
Last Name:HORROCKS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1918
Mailing Address - Country:US
Mailing Address - Phone:315-866-7630
Mailing Address - Fax:315-866-0193
Practice Address - Street 1:205 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-1918
Practice Address - Country:US
Practice Address - Phone:315-866-7630
Practice Address - Fax:315-866-0193
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030830-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical