Provider Demographics
NPI:1306176557
Name:SINCLAIR, PATRICIA (LISW-S)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 NOB HILL DR APT 313
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-3352
Mailing Address - Country:US
Mailing Address - Phone:216-469-8820
Mailing Address - Fax:
Practice Address - Street 1:6000 NOB HILL DR APT 313
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-3352
Practice Address - Country:US
Practice Address - Phone:216-469-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0008346-SUP104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker