Provider Demographics
NPI:1972060473
Name:PATEL, NOORIE (MSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:NOORIE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1182 BAYVIEW VIS
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-4949
Mailing Address - Country:US
Mailing Address - Phone:703-984-9527
Mailing Address - Fax:
Practice Address - Street 1:1182 BAYVIEW VIS
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-4949
Practice Address - Country:US
Practice Address - Phone:703-984-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD210591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical