Provider Demographics
NPI:1922351683
Name:OWINGS-ALLEY, PATRICIA ANN (CSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:OWINGS-ALLEY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:CAHOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 TUSCARORA AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1107
Mailing Address - Country:US
Mailing Address - Phone:843-263-6038
Mailing Address - Fax:843-524-3889
Practice Address - Street 1:1 TUSCARORA AVE
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1107
Practice Address - Country:US
Practice Address - Phone:843-263-6038
Practice Address - Fax:843-524-3889
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65601041C0700X
SC1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool