Patricia Jean Kolanko-Brown, LSCW
Individual provider Active NPI Clinical Social Worker · Macdill Afb, FL
NPI 1699769810 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1699769810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW 0003715 (FL)
- Practice address
- 8415 Bayshore Blvd
Macdill Afb, FL 33621-1607 - Phone
- (813) 827-9183
- Fax
- (813) 828-6868
- NPI assigned
- Sep 2, 2005
- 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 |
|---|---|---|---|
| SW 0003715 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 0003715 | FL | Yes |
Addresses
Primary practice location
8415 Bayshore Blvd
Macdill Afb, FL 33621-1607
Mailing address
5910 N Kenneth Ave
Tampa, FL 33604-6518
Phone (813) 827-9183
Other providers in Macdill Afb, FL
- Alyse Marie Denittis
- Robert Lyman Eckles
- Marjorie Ann Finlay
- Paul D Hoffman
- Jordan Lee Huffman
- Jeane Marie Lambrecht
- Donna Laulo
- Joshua D Mattison
- Jose Orlando Maysonet
- Emmanuel D Naval
All providers in Macdill Afb, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. 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.