| Doctor Name: | MS. SHELLY L PATCHETT |
| NPI Number: | 1215070487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 149.009828 |
| Business Practice Address: | 1107 N Blackhawk Blvd Suite 8 Rockton, IL - 610721500 |
| Business Phone Number: | 8154949115 |
| Business Fax Number: | 8159265301 |
| Mailing Address: | 1107 N Blackhawk Blvd, Suite 8 ROCKTON |
| State: | IL |
| Postal Code: | 610721500 |
| Phone Number: | 8154949115 |
| Fax Number: | 8159265301 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.009828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |