Provider Demographics
NPI:1982118139
Name:PATTERSON-ABOAGYE, MAKEEA S (LSW, CDCA)
Entity Type:Individual
Prefix:
First Name:MAKEEA
Middle Name:S
Last Name:PATTERSON-ABOAGYE
Suffix:
Gender:F
Credentials:LSW, CDCA
Other - Prefix:
Other - First Name:MAKEEA
Other - Middle Name:S
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW, CDCA
Mailing Address - Street 1:2500 CORPORATE EXCHANGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7601
Mailing Address - Country:US
Mailing Address - Phone:614-776-6307
Mailing Address - Fax:614-794-4976
Practice Address - Street 1:2500 CORPORATE EXCHANGE DR STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-7601
Practice Address - Country:US
Practice Address - Phone:614-776-6307
Practice Address - Fax:614-794-4976
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1701721104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker