Provider Demographics
NPI:1053178806
Name:PATTERSON, SADE
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SADE
Other - Middle Name:T
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:997 CALLE EL CONDOR UNIT A
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2698
Mailing Address - Country:US
Mailing Address - Phone:559-241-4058
Mailing Address - Fax:
Practice Address - Street 1:1232 PERIMETERR PARKWAY
Practice Address - Street 2:SUITE 206
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5924
Practice Address - Country:US
Practice Address - Phone:757-428-7500
Practice Address - Fax:757-428-7500
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040164001041C0700X
CA1231281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical