National Provider Identifier
Patricia A. Dematteo, LCSW
Patricia A. Dematteo, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 272-7247.
Profile Overview
- NPI
- 1104827344
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 10, 2005
- Last Updated
- July 08, 2007
Practice Location
- 415 N Tioga St
- Ithaca, NY 14850-4228
Phone: (607) 272-7247
Mailing Address
- 508 Linn St
- Ithaca, NY 14850-3763
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1104827344
- Entity Type
- Individual
- Last Name
- Dematteo
- First Name
- Patricia
- Middle Name
- A.
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 508 Linn St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3763
- Mailing Country
- US
- Mailing Phone
- (607) 273-2456
- Mailing Fax
- (607) 257-2510
- Practice Street Address
- 415 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4228
- Practice Country
- US
- Practice Phone
- (607) 272-7247
- Enumeration Date
- August 10, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)