Provider Demographics
NPI:1104057884
Name:CAMMARATA, PATRICIA INEZ (LMSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:INEZ
Last Name:CAMMARATA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1331
Mailing Address - Country:US
Mailing Address - Phone:585-589-6848
Mailing Address - Fax:
Practice Address - Street 1:19 W STATE ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1331
Practice Address - Country:US
Practice Address - Phone:585-589-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044687104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker