Provider Demographics
NPI:1790755940
Name:ROWE, PATRICIA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:ROWE
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 1:3227 MADELINE ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-3934
Mailing Address - Country:US
Mailing Address - Phone:510-530-5654
Mailing Address - Fax:510-530-5654
Practice Address - Street 1:160 SARATOGA AVE
Practice Address - Street 2:STE 42
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-7334
Practice Address - Country:US
Practice Address - Phone:408-248-6604
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS1344441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical