Individual
PATRICIA LOUISE MCCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 N WILMOT RD STE A200, TUCSON, AZ 85712-4416
(520) 873-8562
Mailing address
1500 N WILMOT RD STE A200, TUCSON, AZ 85712-4416
(520) 873-8562
(888) 851-7021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051064
MEDICARE-CAMBRIA
CA
01
—
551907
MEDICARE-TEMPLETON
CO
01
—
551978
MEDICARE-ATASCADERO
CA
01
—
551983
MEDICARE SAN LUIS OBISPO
CA
05
—
FHC 71031F
—
CA
01
—
HAP71031F
FAMILY PACT
CA
01
—
W1508
CAMBRIA PTAN GROUP
CA
01
—
W1508A
TEMPLETON PTAN GROUP
CA
01
—
W1508C
ATASCADERO PTAN GROUP
CA
01
—
W1508E
SAN LUISOBISPO PTAN
CA
Enumeration date
12/20/2006
Last updated
09/17/2020
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