Provider Demographics
NPI:1992011670
Name:RASHED, PATRICK R SR (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:R
Last Name:RASHED
Suffix:SR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-4701
Mailing Address - Country:US
Mailing Address - Phone:319-236-7290
Mailing Address - Fax:319-235-4364
Practice Address - Street 1:1073 ROCKFORD RD SW STE A
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1870
Practice Address - Country:US
Practice Address - Phone:319-236-7290
Practice Address - Fax:319-235-4364
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0073121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical