Provider Demographics
NPI:1841306354
Name:MILNER, PATSY BETH (LCSW C)
Entity type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:BETH
Last Name:MILNER
Suffix:
Gender:F
Credentials:LCSW C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 CREST RD
Mailing Address - Street 2:
Mailing Address - City:BALTO
Mailing Address - State:MD
Mailing Address - Zip Code:21209
Mailing Address - Country:US
Mailing Address - Phone:410-367-3811
Mailing Address - Fax:410-367-3813
Practice Address - Street 1:9110 PHILADELPHIA RD
Practice Address - Street 2:STE 206
Practice Address - City:BALTO
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:410-367-3811
Practice Address - Fax:410-367-3813
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05755104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQ342Medicare ID - Type Unspecified
Q342Medicare UPIN