Provider Demographics
NPI:1861288631
Name:PATRICIA BITAR LICENSED CLINICAL SOCIAL WORKER INC.
Entity type:Organization
Organization Name:PATRICIA BITAR LICENSED CLINICAL SOCIAL WORKER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BITAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-602-0516
Mailing Address - Street 1:4210 PARK NEWPORT APT 209
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6028
Mailing Address - Country:US
Mailing Address - Phone:818-602-0516
Mailing Address - Fax:
Practice Address - Street 1:4210 PARK NEWPORT APT 209
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-6028
Practice Address - Country:US
Practice Address - Phone:818-602-0516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty