Provider Demographics
NPI:1316475387
Name:FIELD, PATRICK TYRONE (LCSW)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:TYRONE
Last Name:FIELD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 BARONNE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1621
Mailing Address - Country:US
Mailing Address - Phone:504-332-8962
Mailing Address - Fax:
Practice Address - Street 1:2407 BARONNE ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1621
Practice Address - Country:US
Practice Address - Phone:504-332-8962
Practice Address - Fax:504-676-6042
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
LA166981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical