Provider Demographics
NPI:1952468944
Name:MCGOVERN, PATRICIA M (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:MCGOVERN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 EFFINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3925
Mailing Address - Country:US
Mailing Address - Phone:908-233-2717
Mailing Address - Fax:
Practice Address - Street 1:134 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5103
Practice Address - Country:US
Practice Address - Phone:908-233-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004917001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical