Provider Demographics
NPI:1972923480
Name:PATTON, ANNA (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:PATTON-LINGEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:328 THOMAS MORE PARKWAY #102
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3488
Mailing Address - Country:US
Mailing Address - Phone:859-431-6333
Mailing Address - Fax:859-341-0310
Practice Address - Street 1:328 THOMAS MORE PARKWAY #102
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3488
Practice Address - Country:US
Practice Address - Phone:859-431-6333
Practice Address - Fax:859-341-0310
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2546361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY610661458OtherTAX ID