Provider Demographics
NPI:1790913176
Name:TOWNSEND, PATRICIA ADELE (MSW,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ADELE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 GREEN ST E
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4176
Mailing Address - Country:US
Mailing Address - Phone:252-291-5585
Mailing Address - Fax:252-291-1377
Practice Address - Street 1:504 GREEN ST E
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4176
Practice Address - Country:US
Practice Address - Phone:252-291-5585
Practice Address - Fax:252-291-1377
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002748Medicaid
NC6002748Medicaid