Healthcare Provider Details

I. General information

NPI: 1023275781
Provider Name (Legal Business Name): PATRICIA ANN WARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 HWY 70 W
MOREHEAD CITY NC
28557-4510
US

IV. Provider business mailing address

108 CHARLES ST
BEAUFORT NC
28516-9607
US

V. Phone/Fax

Practice location:
  • Phone: 252-240-2349
  • Fax:
Mailing address:
  • Phone: 904-716-1323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW7929
License Number StateFL

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: