| Patricia Ventura Lcsw | |
|
255 S 17th St Ste 1601 Philadelphia PA 19103-6216 | |
| (215) 888-7862 | |
| Not Available |
| Full Name | Patricia Ventura Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 S 17th St Ste 1601, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Patricia Ventura (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2158887862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Ventura Lcsw 7934 Michener Ave Philadelphia PA 19150-1321 Ph: (215) 888-7862 | Patricia Ventura Lcsw 255 S 17th St Ste 1601 Philadelphia PA 19103-6216 Ph: (215) 888-7862 |
| NPI Number | 1184279598 |
|---|---|
| Provider Enumeration Date | 08/03/2019 |
| Last Update Date | 09/16/2019 |
| Medicare PECOS PAC ID | 0840520706 |
|---|---|
| Medicare Enrollment ID | O20190919002569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184279598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia Ventura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952731812 PECOS PAC ID: 1759611619 Enrollment ID: I20190919002716 |
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