Provider Demographics
NPI:1790868032
Name:HOWE, PATRICIA CLARE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CLARE
Last Name:HOWE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 KILSYTHE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-5712
Mailing Address - Country:US
Mailing Address - Phone:781-643-1959
Mailing Address - Fax:
Practice Address - Street 1:705 MOUNT AUBURN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472
Practice Address - Country:US
Practice Address - Phone:857-304-3282
Practice Address - Fax:888-977-0776
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1045111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042611055OtherTAX ID
MA1004745OtherNHP
MA1303287OtherMBHP
MA703136OtherTUFTS
MA1303287Medicaid
MAP10329OtherBCBS
99618201OtherNETWORK HEALTH
MAM18633OtherBCBS
MA1303287Medicaid