Provider Demographics
NPI:1851538516
Name:PATTERSON, JAMES STEVEN (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:STEVEN
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 LEE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24202-5967
Mailing Address - Country:US
Mailing Address - Phone:276-645-4520
Mailing Address - Fax:276-645-0349
Practice Address - Street 1:2426 LEE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-5967
Practice Address - Country:US
Practice Address - Phone:276-645-4520
Practice Address - Fax:276-645-0349
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040062671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical