Provider Demographics
NPI:1932311768
Name:LIBERTY, PATRICIA LEFILS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LEFILS
Last Name:LIBERTY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-6830
Mailing Address - Country:US
Mailing Address - Phone:407-857-6916
Mailing Address - Fax:
Practice Address - Street 1:7501 LAKE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6830
Practice Address - Country:US
Practice Address - Phone:407-857-6916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW36841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical