Healthcare Provider Details

I. General information

NPI: 1801654298
Provider Name (Legal Business Name): PATRICIA J RAGAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA J LOGAN LMSW

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 LAKEVIEW PKWY
ROWLETT TX
75088-4177
US

IV. Provider business mailing address

1128 BAYSHORE DR
ROCKWALL TX
75087-3211
US

V. Phone/Fax

Practice location:
  • Phone: 214-319-8706
  • Fax:
Mailing address:
  • Phone: 509-822-1668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number32803
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: