Provider Demographics
NPI:1912895863
Name:PATE, PORTIA (CASEWORKER)
Entity type:Individual
Prefix:
First Name:PORTIA
Middle Name:
Last Name:PATE
Suffix:
Gender:F
Credentials:CASEWORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3266 N MERIDIAN ST STE 900
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-5834
Mailing Address - Country:US
Mailing Address - Phone:317-349-2197
Mailing Address - Fax:463-223-7357
Practice Address - Street 1:3266 N MERIDIAN ST STE 900
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5834
Practice Address - Country:US
Practice Address - Phone:317-349-2197
Practice Address - Fax:463-223-7357
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker