Individual
AMY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2904 MILLER DR, PLYMOUTH, IN 46563-8083
(574) 936-9646
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017203
IL
1041C0700X
Clinical Social Worker
34005551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163580
—
IN
01
—
485380A
MEDICARE GROUP NUMBER
IN
Enumeration date
05/15/2008
Last updated
02/11/2026
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