Provider Demographics
NPI:1053768531
Name:PATTON, ALEXANDRA BRYE (MSW, LCSW)
Entity type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:BRYE
Last Name:PATTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 TIMBER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2518
Mailing Address - Country:US
Mailing Address - Phone:919-813-0926
Mailing Address - Fax:
Practice Address - Street 1:2339 TIMBER DR STE 214
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2518
Practice Address - Country:US
Practice Address - Phone:919-813-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0118371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical