Provider Demographics
NPI:1548437031
Name:PATTERSON, ROBIN FOUSHEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:FOUSHEE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:FOUSHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-OH
Mailing Address - Street 1:601 PALMER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330
Mailing Address - Country:US
Mailing Address - Phone:919-935-4584
Mailing Address - Fax:440-323-5134
Practice Address - Street 1:750 S ABBE RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-7246
Practice Address - Country:US
Practice Address - Phone:440-323-5121
Practice Address - Fax:440-323-5134
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00099081041C0700X
NCC0064711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical