| Patricia Katz,lcsw Pa | |
|
10031 Pines Blvd Suite 240 Pembroke Pines FL 33024-6179 | |
| (954) 801-8174 | |
| (954) 217-8547 |
| Full Name | Patricia Katz,lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 10031 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Pat J Katz (PRESIDENT) |
| Authorized Official Contact | 9548018174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Katz,lcsw Pa 762 Heritage Dr Weston FL 33326-4539 Ph: (954) 801-8174 | Patricia Katz,lcsw Pa 10031 Pines Blvd Suite 240 Pembroke Pines FL 33024-6179 Ph: (954) 801-8174 |
| NPI Number | 1851565923 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 2668491291 |
|---|---|
| Medicare Enrollment ID | O20051114000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851565923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6007 (Florida) | Primary |
| Provider Name | Patricia J Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316912553 PECOS PAC ID: 9739108366 Enrollment ID: I20051115000110 |
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