Provider Demographics
NPI:1336259837
Name:PATTERSON, ELLEN SCHWARTZ (MSW LCSW C CA)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:SCHWARTZ
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MSW LCSW C CA
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:JELEN KO
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LCSW C
Mailing Address - Street 1:200 E JOPPA RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3106
Mailing Address - Country:US
Mailing Address - Phone:410-583-9278
Mailing Address - Fax:410-583-9297
Practice Address - Street 1:200 E JOPPA RD
Practice Address - Street 2:SUITE 108
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3106
Practice Address - Country:US
Practice Address - Phone:410-583-9278
Practice Address - Fax:410-583-9297
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06425104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker