Provider Demographics
NPI:1134601487
Name:EICHINGER, PATRICIA (LICSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:EICHINGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1000
Mailing Address - Country:US
Mailing Address - Phone:617-363-8614
Mailing Address - Fax:
Practice Address - Street 1:SAINT ANNE'S GPU AT NEW ENGLAND SINAI HOSPITAL
Practice Address - Street 2:150 YORK STREET
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072
Practice Address - Country:US
Practice Address - Phone:782-297-1677
Practice Address - Fax:781-297-1684
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1188071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical