Provider Demographics
NPI:1861923120
Name:JAMES, PATRICIA (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2086 BRONX PARK EAST
Mailing Address - Street 2:4H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462
Mailing Address - Country:US
Mailing Address - Phone:646-229-1334
Mailing Address - Fax:
Practice Address - Street 1:2086 BRONX PARK E
Practice Address - Street 2:4H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2264
Practice Address - Country:US
Practice Address - Phone:646-229-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0825571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical