Boersma, Patricia Spears
Boersma, Patricia Spears is an individual health care provider with primary practice located at 500 Gold Hawk Ln , Bedford TX 76022-6561. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boersma, Patricia Spears can be contacted via phone (817) 285-0333.Contact Information
Primary practice address
500 Gold Hawk Ln
Bedford TX 76022-6561
Phone: (817) 285-0333
Fax: (817) 285-0334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 51370 | Texas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW7227 | Florida |
Profile Details
| NPI number | 1609978543 |
|---|---|
| LBN Legal business name | Boersma, Patricia Spears |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 31st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609978543 | NPPES |
| Other | Z7160A | MEDICARE UNSPECIFIED |
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