Provider Demographics
NPI:1932237682
Name:PATTERSON, KAREN D (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:WFBH
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-713-7188
Mailing Address - Fax:336-713-7183
Practice Address - Street 1:1215 N CAMERON AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-1816
Practice Address - Country:US
Practice Address - Phone:336-703-6737
Practice Address - Fax:336-727-2931
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC189293OtherMEDCOST
NC6002532Medicaid
NC138ATOtherBLUE CROSS - BLUE SHIELD