Mary Patric, LCSW
Individual provider Active NPI Clinical Social Worker · Holloman Afb, NM
NPI 1306996624 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1306996624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC5852 (ME)
- Practice address
- 280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273 - Phone
- (575) 800-4205
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aroostook Mental Health Services, Inc. | Social Worker | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5852 | ME | Yes |
Addresses
Primary practice location
280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273
Mailing address
280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273
Phone (575) 430-3437
Other providers in Holloman Afb, NM
- Jessica Ann O'Banion
- Erin Kathleen O'Pry
- Lauren Danielle Olivares
- Regina Marie Ortega
- Jessica Pagano
- Samuel Henry Patton
- John David Paz
- Nicole Ann Percy
- Janice Perido
- Jahna Marie Perrine
All providers in Holloman Afb, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. 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.