Provider Demographics
NPI:1790991743
Name:SEEBERG, PATRICIA O'KEEFE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:O'KEEFE
Last Name:SEEBERG
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 1:5 FOX LN
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-2251
Mailing Address - Country:US
Mailing Address - Phone:845-258-1068
Mailing Address - Fax:
Practice Address - Street 1:17 RIVER ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1426
Practice Address - Country:US
Practice Address - Phone:845-986-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069566-11041C0700X
NJ44SC052499001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical