Patricia Hollingworth, LCSW
Individual provider Active NPI Clinical Social Worker · Jackson, LA
NPI 1376754358 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376754358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3013 (LA)
- Practice address
- 4502 Hwy. 951
Jackson, LA 70748 - Phone
- (225) 634-0224
- Fax
- (225) 634-0213
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3013 | LA | Yes |
Addresses
Primary practice location
4502 Hwy. 951
Jackson, LA 70748
Mailing address
PO Box 498
Jackson, LA 70748-0498
Phone (225) 634-0224
Other providers in Jackson, LA
- Melinda Harris Ganes
- Aslyn Nicole George
- Randy Harville
- Sarah Heiser
- Amanda Hidalgo
- Mar'Lesha Lorraine Hollins-Hills
- Brittani Hollins
- Phuong Ngoc Huynh
- Lotacha Irvin-Hayes
- Catina Luzinda Johnson
All providers in Jackson, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.