Provider Demographics
NPI:1912536533
Name:OGUNMOLA-NAZZAL, PATRICIA OLAYINKA (LSWAIC, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:OLAYINKA
Last Name:OGUNMOLA-NAZZAL
Suffix:
Gender:F
Credentials:LSWAIC, LMSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:OLAYIINKA
Other - Last Name:OGUNMOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COMPASS HEALTH
Mailing Address - Street 2:4526 FEDERAL AVE # MS 11
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2132
Mailing Address - Country:US
Mailing Address - Phone:425-349-6200
Mailing Address - Fax:
Practice Address - Street 1:COMPASS HEALTH
Practice Address - Street 2:4526 FEDERAL AVE # MS 11
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2132
Practice Address - Country:US
Practice Address - Phone:425-349-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC.61036452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker