Provider Demographics
NPI:1104549872
Name:URSCHEL, PATRICIA CLARK (LCSWAIC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CLARK
Last Name:URSCHEL
Suffix:
Gender:F
Credentials:LCSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8356 12TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3341
Mailing Address - Country:US
Mailing Address - Phone:907-518-0232
Mailing Address - Fax:
Practice Address - Street 1:3401 EVANSTON AVE N STE D
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8677
Practice Address - Country:US
Practice Address - Phone:907-518-0232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical