MS. PATRICIA ANN O'HEARN MSW, LCSW - NPI 1639243710

Q: What is Patricia O'hearn's NPI number?

The NPI number for Patricia O'hearn is 1639243710. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Patricia O'hearn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Patricia O'hearn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Patricia Ann O'hearn Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PATRICIA ANN O'HEARN MSW, LCSW (NPI 1639243710) is an individual mental health provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (1349-123) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1639243710

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. PATRICIA ANN O'HEARNCredential: MSW, LCSW

Location Address40 CAMELOT DRFond Du Lac, WI 54935-8049

Mailing Address40 Camelot DrFond Du Lac, WI 54935-8049 · (920) 907-8201 · Fax (920) 907-8209

Phone(920) 907-8201

Fax(920) 907-8209

Sole ProprietorNo

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639243710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 1349-123

40 CAMELOT DR, Fond Du Lac, WI 54935

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Other Identifiers 1

Medicaid39753800WI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN MISCHLER LCSW

Social Worker (Clinical)