Provider Demographics
NPI:1962485979
Name:MURPHY, PATRICIA JANE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JANE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2252
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-8252
Mailing Address - Country:US
Mailing Address - Phone:301-997-1494
Mailing Address - Fax:301-997-1497
Practice Address - Street 1:41625 PARK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-8252
Practice Address - Country:US
Practice Address - Phone:301-997-1494
Practice Address - Fax:301-997-1497
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3105869OtherOPT CHOICE/ MAMSI
MD314196OtherALLIANCE
MD4M3830001OtherBLUECHOICE BC/BS
MD481301052OtherONE HEALTH PLAN
MD012471OtherVALUE OPTIONS
MD3105869OtherMDIPA
MD460588-000OtherMAGELLAN
MD481301052OtherFIRST HEALTH
MDPHCSOtherPHCS
MD133813OtherAMERICAN PSYCH SERVICES
MD18769OtherMANAGED HEALTH NETWORK
MD401430800Medicaid
MD481301052OtherUNITED BEHAVIORAL HEALTH
MDM383OtherBC/BS NAT'L CAP AREA
MD11811OtherJOHNS HOPKINS HEALTHCARE
MD512747OtherNCPPO
MD012471OtherTRICARE/ HEALTHNET
MDQH69OtherBC/BS OF MARYLAND
MD133813OtherAMERICAN PSYCH SERVICES
MD512747OtherNCPPO