Provider Demographics
NPI:1851565923
Name:PATRICIA KATZ,LCSW PA
Entity Type:Organization
Organization Name:PATRICIA KATZ,LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:J
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-801-8174
Mailing Address - Street 1:762 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-4539
Mailing Address - Country:US
Mailing Address - Phone:954-801-8174
Mailing Address - Fax:954-217-8547
Practice Address - Street 1:10031 PINES BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6179
Practice Address - Country:US
Practice Address - Phone:954-801-8174
Practice Address - Fax:954-217-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW60071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty