Healthcare Provider Details

I. General information

NPI: 1285506055
Provider Name (Legal Business Name): PATRICIA ANNE TOWNSEND LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N MAIN ST
WALNUT COVE NC
27052-9247
US

IV. Provider business mailing address

3671 N OLD 52 RD
PINNACLE NC
27043-8486
US

V. Phone/Fax

Practice location:
  • Phone: 570-575-2791
  • Fax:
Mailing address:
  • Phone: 570-575-2791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022882
License Number StateNC

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: