Provider Demographics
NPI:1922125467
Name:STABILE, PATRICIA QUINN (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:QUINN
Last Name:STABILE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:JEAN
Other - Last Name:STABILE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:7924 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3645
Mailing Address - Country:US
Mailing Address - Phone:410-444-2100
Mailing Address - Fax:410-426-1140
Practice Address - Street 1:7924 VERNON AVE
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3645
Practice Address - Country:US
Practice Address - Phone:410-444-2100
Practice Address - Fax:410-426-1140
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD042041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical