1205761061 NPI number — ROSEMARY KATHERINE PATTERSON LMSW, DSW

Table of content: ROSEMARY KATHERINE PATTERSON LMSW, DSW (NPI 1205761061)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205761061 NPI number — ROSEMARY KATHERINE PATTERSON LMSW, DSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATTERSON
Provider First Name:
ROSEMARY
Provider Middle Name:
KATHERINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMSW, DSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCDONALD
Provider Other First Name:
ROSEMARY
Provider Other Middle Name:
KATHERINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1205761061
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 SARATOGA RD STE 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12302-4181
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-763-1700
Provider Business Mailing Address Fax Number:
518-381-1473

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 SARATOGA RD STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12302-4181
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-763-1700
Provider Business Practice Location Address Fax Number:
518-381-1473
Provider Enumeration Date:
06/15/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  096984 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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