Provider Demographics
NPI:1306943279
Name:SHENBERGER, PATRICIA MARY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARY
Last Name:SHENBERGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:MARY
Other - Last Name:PASHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:4277 MIDDLE SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-5315
Mailing Address - Country:US
Mailing Address - Phone:315-735-6484
Mailing Address - Fax:315-735-8545
Practice Address - Street 1:4277 MIDDLE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5315
Practice Address - Country:US
Practice Address - Phone:315-735-6484
Practice Address - Fax:315-735-8545
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0705391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC5051Medicare ID - Type Unspecified