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General NPI Number Information
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NPI Number | 1558102129
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Entity Type | Individual
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Provider Name | JOANNA PATCHA MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 7733 BALLANTYNE COMMONS PKWY STE 201C
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City | CHARLOTTE
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State | NC
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Zip | 28277-4396
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Country | US
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Telephone | 980-522-8333
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Fax | 704-520-8325
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Provider Business Mailing Address
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Address Line | 9027 PINE LAUREL DR
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City | MATTHEWS
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State | NC
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Zip | 28104-8056
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Country | US
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Telephone | 949-922-8928
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Fax | 704-520-8325
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C105799
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License Number State | NC
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