Healthcare Provider Details

I. General information

NPI: 1144231572
Provider Name (Legal Business Name): PATRICIA ELLEN GARBER M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 STANLEY ST STANLEY STREET TREATMENT AND RESOURCES
FALL RIVER MA
02720
US

IV. Provider business mailing address

101 LONG PASTURE WAY
TIVERTON RI
02878-4825
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-3549
  • Fax: 508-679-3678
Mailing address:
  • Phone: 401-816-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114588
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000000008464
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBMC MASS HEALTH
# 2
Identifier725921
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerTUFTS
# 3
IdentifierTAX ID
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHCVM
# 4
Identifier1306685
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerMBHP - MASS HEALTH
# 5
Identifier1002950
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBEACON
# 6
Identifier1306685
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 7
IdentifierA005312/008588
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerVALUE OPTIONS BC/BS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: