Provider Demographics
NPI:1619241262
Name:PATTERSON HAAK, PATRICIA I (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:I
Last Name:PATTERSON HAAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3892 MARLA DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-9070
Mailing Address - Country:US
Mailing Address - Phone:206-913-8479
Mailing Address - Fax:
Practice Address - Street 1:2000 HEALTH PARK DR FL HP2
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4692
Practice Address - Country:US
Practice Address - Phone:615-373-7600
Practice Address - Fax:866-346-1426
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040086381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical