Witherspoon, Patricia Bowie

Witherspoon, Patricia Bowie is an individual health care provider with primary practice located at 10819 Rockaway Blvd , Ozone Park NY 11420. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Witherspoon, Patricia Bowie can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
10819 Rockaway Blvd Ozone Park NY 11420
Fax: (718) 845-9380
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00061406 New York

Profile Details

NPI number 1760548069
LBN Legal business name Witherspoon, Patricia Bowie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Nov 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760548069 NPPES
New York MEDICAID 6013EV

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