Provider Demographics
NPI:1619949450
Name:MCKINSEY, PATRICK DUNGAN JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:DUNGAN
Last Name:MCKINSEY
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 EDGEDALE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1701
Mailing Address - Country:US
Mailing Address - Phone:828-230-7810
Mailing Address - Fax:910-907-6571
Practice Address - Street 1:1 EDGEDALE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1701
Practice Address - Country:US
Practice Address - Phone:828-230-7810
Practice Address - Fax:910-907-6571
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0031701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical