Provider Demographics
NPI:1063652436
Name:WARRICK, PATRICIA A (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:WARRICK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 JANESDALE CT
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-2307
Mailing Address - Country:US
Mailing Address - Phone:202-367-2663
Mailing Address - Fax:301-262-6437
Practice Address - Street 1:5203 JANESDALE CT
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-2307
Practice Address - Country:US
Practice Address - Phone:202-367-2663
Practice Address - Fax:301-262-6437
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122551041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool