Provider Demographics
NPI:1841330149
Name:NEVEL, PATRICIA G (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:NEVEL
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 1:42600 BOB HOPE DR
Mailing Address - Street 2:SUITE 407
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4491
Mailing Address - Country:US
Mailing Address - Phone:760-564-6404
Mailing Address - Fax:760-396-9478
Practice Address - Street 1:42600 BOB HOPE DR
Practice Address - Street 2:SUITE 407
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4491
Practice Address - Country:US
Practice Address - Phone:760-564-6404
Practice Address - Fax:760-396-9478
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS144561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7155331OtherAETNA
CA284687OtherVALUE OPTIONS
CA049834OtherMHN
CA7155331OtherAETNA