Provider / Organization | NPI | Date Certified |
---|---|---|
ELAINE N. PATSOURAKOS | 1063089472 | 2021-06-06 |
Elaine N. Patsourakos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063089472. Registration indicates Elaine N. Patsourakos is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Mrs. Elaine N. Patsourakos LICSW |
Practice Office Address | 28 FREDRICKSON RD BILLERICA, MA US |
Practice Office Telephone | 9784309527 |
Mailing Address | 28 FREDRICKSON RD BILLERICA, MA 018215312 US |
Business Telephone | 9784309527 |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 104335
MA |
193400000X SING | Group Code |