Basic Information
Provider Information
NPI: 1497892202
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATTERSON
FirstName: NATALIE
MiddleName: SILVA
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 JILLIAN WAY
Address2:  
City: WESTPORT
State: MA
PostalCode: 027904228
CountryCode: US
TelephoneNumber: 5086368571
FaxNumber:  
Practice Location
Address1: 100 LEDGEWOOD PL
Address2: SUITE 202
City: ROCKLAND
State: MA
PostalCode: 023701075
CountryCode: US
TelephoneNumber: 7818716550
FaxNumber: 7818715973
Other Information
ProviderEnumerationDate: 01/31/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X2024135MAY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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