Provider Demographics
NPI:1770593154
Name:BETTMAN, PATRICIA R (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:R
Last Name:BETTMAN
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 1:11 ANGELA PLACE
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2806
Mailing Address - Country:US
Mailing Address - Phone:914-997-2668
Mailing Address - Fax:914-631-2300
Practice Address - Street 1:11 ANGELA PLACE
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2806
Practice Address - Country:US
Practice Address - Phone:914-997-2668
Practice Address - Fax:914-631-2300
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO3084711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical