Patti A. Hacker, LCSW
Individual provider Active NPI Clinical Social Worker · Seaford, VA
NPI 1114368669 · NPPES record last updated Jul 12, 2013
Key facts
- NPI
- 1114368669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904004665 (VA)
- Practice address
- 208 Presson Rd
Seaford, VA 23696-2610 - Phone
- (757) 898-0668
- Fax
- (757) 898-0668
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004665 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004665 | VA | Yes |
Addresses
Primary practice location
208 Presson Rd
Seaford, VA 23696-2610
Mailing address
208 Presson Rd
Seaford, VA 23696-2610
Phone (757) 898-0668
Other providers in Seaford, VA
All providers in Seaford, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.