MEDICARE: MS. JOAN A PATTERSON LCSW LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC00029800	NJ
2	106H00000X	Marriage & Family Therapist	37FI00104600	NJ

General Provider Information

NPI Number	:	1689644056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOAN A PATTERSON LCSW LMFT

Provider Business Mailing Address
First Line	:	161 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1625
Country	:	US
Telephone Number	:	609-799-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1625
Country	:	US
Telephone Number	:	609-799-3035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	09/11/2025

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