Individual provider · Type 1 NPI

Mary Patric, LCSW

Clinical Social Worker · Holloman Afb, NM

NPI number 1306996624 Active

Practice location

280 David L Goldfein St Bldg 23
Holloman Afb, NM 88330-8273

Call (575) 800-4205 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC5852 (ME)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306996624

Mary Patric, LCSW's National Provider Identifier is 1306996624, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holloman Afb, NM. The record was last updated on Apr 17, 2025.