Provider Demographics
NPI:1801073853
Name:PATTEN, DANIEL (MSW)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:PATTEN
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 1:17122 PACIFIC COAST HWY
Mailing Address - Street 2:#201
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4128
Mailing Address - Country:US
Mailing Address - Phone:562-852-8944
Mailing Address - Fax:
Practice Address - Street 1:17122 PACIFIC COAST HWY
Practice Address - Street 2:#201
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-4128
Practice Address - Country:US
Practice Address - Phone:562-852-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA163091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical