Provider Demographics
NPI:1710951124
Name:WINCHILD, PATRICIA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:WINCHILD
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 KENT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4827
Mailing Address - Country:US
Mailing Address - Phone:410-719-7888
Mailing Address - Fax:410-719-0182
Practice Address - Street 1:1306 KENT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4827
Practice Address - Country:US
Practice Address - Phone:410-719-7888
Practice Address - Fax:410-719-0182
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04697174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist