Provider Demographics
NPI:1649884669
Name:PATTERSON, CHAD J (LCSW)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:J
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 HARVEST BEND LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4152
Mailing Address - Country:US
Mailing Address - Phone:512-434-0716
Mailing Address - Fax:
Practice Address - Street 1:507 DENALI PASS STE 201
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7979
Practice Address - Country:US
Practice Address - Phone:512-434-0716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical