MEDICARE: CLINTON PATTERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1437021284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLINTON PATTERSON

Provider Business Mailing Address
First Line	:	3113 WINTERBOURNE DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9085
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3113 WINTERBOURNE DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9085
Country	:	US
Telephone Number	:	240-375-2137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “ CLINTON PATTERSON ” Practice Location

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