Provider Demographics
NPI:1770836967
Name:MCEVOY, PATRICK BRENDLE (MSW)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:BRENDLE
Last Name:MCEVOY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 CAMPUS DR SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4800
Mailing Address - Country:US
Mailing Address - Phone:507-328-6256
Mailing Address - Fax:507-328-6263
Practice Address - Street 1:2117 CAMPUS DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4800
Practice Address - Country:US
Practice Address - Phone:507-328-6256
Practice Address - Fax:507-328-6263
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical