Provider Demographics
NPI:1275368532
Name:UNGER, PATSY (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 OUT OF BOUNDS DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-6227
Mailing Address - Country:US
Mailing Address - Phone:843-270-7360
Mailing Address - Fax:833-618-4252
Practice Address - Street 1:40 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-3500
Practice Address - Country:US
Practice Address - Phone:843-270-7360
Practice Address - Fax:833-618-4252
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC68121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty