Provider Demographics
NPI:1669686200
Name:SVOLTO-PATTERSON, ELIZABETH GRACE (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GRACE
Last Name:SVOLTO-PATTERSON
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 1:7 SARA ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-3337
Mailing Address - Country:US
Mailing Address - Phone:717-856-6580
Mailing Address - Fax:
Practice Address - Street 1:3410 E MARKET ST STE B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2662
Practice Address - Country:US
Practice Address - Phone:717-718-8158
Practice Address - Fax:717-751-1755
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103056639 0001Medicaid