Patricia Louise Desrosiers, LCSW
Individual provider Active NPI Clinical Social Worker · Bowling Green, KY
NPI 1497793483 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1497793483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1943 (KY)
- Practice address
- 2501 Crossings Blvd
Suite 218
Bowling Green, KY 42104-5459 - Phone
- (270) 315-8404
- NPI assigned
- Jun 3, 2006
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1943 | KY | Yes |
Addresses
Primary practice location
2501 Crossings Blvd
Suite 218
Bowling Green, KY 42104-5459
Mailing address
2501 Crossings Blvd
Suite 218
Bowling Green, KY 42104-5459
Phone (270) 315-8404
Other providers in Bowling Green, KY
- Camilia Ann Dennis
- Dental Health Professionals of Kentucky, P.S.C
- Dependable Senior Care, LLC
- Rasesh Desai
- James William Despain
- Destiny Adult Day Training LLC
- Destiny Adult, Child & Family Services LLC
- Susan Diane Devine
- Megan Lynn Devore
- Paula Devore
All providers in Bowling Green, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. 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.