National Provider Identifier

Patricia Ann Baxter, LCSWR

Patricia Ann Baxter, LCSWR is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1629268743Ithaca, NYSocial Worker

Profile Overview

NPI
1629268743
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 25, 2007
Last Updated
July 25, 2007

Practice Location

  • 201 East Coreen St
  • Suite 500 Alcohol Drug Council Of Tompkins CO
  • Ithaca, NY 14850

Phone: (607) 274-6288

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1629268743
Entity Type
Individual
Last Name
Baxter
First Name
Patricia
Middle Name
Ann
Name Prefix
MS.
Credential
LCSWR
Provider Other Last Name
McDonald
Provider Other First Name
Patricia
Provider Other Middle Name
B
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LCSWR
Provider Other Last Name Type Code
1
Mailing Street Address
201 East Coreen St
Mailing Address Line 2
Suite 500 Alcohol Drug Council Of Tompkins CO
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 274-6288
Mailing Fax
(607) 274-6280
Practice Street Address
201 East Coreen St
Practice Address Line 2
Suite 500 Alcohol Drug Council Of Tompkins CO
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 274-6288
Practice Fax
(607) 274-6280
Enumeration Date
July 25, 2007
Last Updated
July 25, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)
Other Identifiers
R02291 (NY, Lcswr)