Provider Demographics
NPI:1851670723
Name:COTTON, PATRICIA S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:S
Last Name:COTTON
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 1:32220 SHOREWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:MD
Mailing Address - Zip Code:21635-1817
Mailing Address - Country:US
Mailing Address - Phone:302-383-2382
Mailing Address - Fax:
Practice Address - Street 1:122 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1225
Practice Address - Country:US
Practice Address - Phone:302-378-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00002321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical