| Doctor Name: | MR. STEPHEN PATILLO |
| NPI Number: | 1003972449 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 44SC04720700 |
| Business Practice Address: | 1925 Pennington Rd Ewing, NJ - 086181105 |
| Business Phone Number: | 6098821898 |
| Business Fax Number: | 6098823880 |
| Mailing Address: | 3 Landon Dr, BORDENTOWN |
| State: | NJ |
| Postal Code: | 085051404 |
| Phone Number: | 6092919151 |
| Fax Number: | 6098823880 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC04720700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |