Provider Demographics
NPI:1073651824
Name:NEELAND, PATRICA (LSCSW)
Entity type:Individual
Prefix:MS
First Name:PATRICA
Middle Name:
Last Name:NEELAND
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 S TAYLOR CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6488
Mailing Address - Country:US
Mailing Address - Phone:620-232-8439
Mailing Address - Fax:
Practice Address - Street 1:3101 N MICHIGAN ST STE C
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-2574
Practice Address - Country:US
Practice Address - Phone:620-231-1069
Practice Address - Fax:620-231-2997
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRAODAC 33101YA0400X
KSLSCSW 19991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical