Provider Demographics
NPI:1689780215
Name:APPLETON, PATRICIA N (MSW, LCSW, DCSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:N
Last Name:APPLETON
Suffix:
Gender:F
Credentials:MSW, LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 W MAGNA CARTA PL
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-5522
Mailing Address - Country:US
Mailing Address - Phone:225-924-0712
Mailing Address - Fax:225-924-0712
Practice Address - Street 1:2056 W MAGNA CARTA PL
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-5522
Practice Address - Country:US
Practice Address - Phone:225-924-0712
Practice Address - Fax:225-924-0712
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA25691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5T378Medicare ID - Type Unspecified