MEDICARE: PATRICE SORBICKI MSW, LCSW

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	1041C0700X	Clinical Social Worker	CW023784	PA

General Provider Information

NPI Number	:	1437815081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE SORBICKI MSW, LCSW

Provider Business Mailing Address
First Line	:	1822 OLIVE ST
Second Line	:
City	:	COATESVILLE
State	:	PA
Zip	:	19320-2440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 RISBON RD
Second Line	:
City	:	HONEY BROOK
State	:	PA
Zip	:	19344-1755
Country	:	US
Telephone Number	:	484-553-0105
Fax Number	:

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

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	05/03/2024

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