Provider Demographics
NPI:1003228222
Name:PATRICK, CYMBRE LIN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:CYMBRE
Middle Name:LIN
Last Name:PATRICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYMBRE
Other - Middle Name:LIN
Other - Last Name:ROOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:244 HOLLY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-4427
Mailing Address - Country:US
Mailing Address - Phone:606-620-4404
Mailing Address - Fax:606-620-4410
Practice Address - Street 1:244 HOLLY GROVE RD
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-4427
Practice Address - Country:US
Practice Address - Phone:606-620-4404
Practice Address - Fax:606-620-4410
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 101YM0800X
KY2531411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical