Provider Demographics
NPI:1942187679
Name:BEARDEN, PATTI PLUNKETT (LICSW)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:PLUNKETT
Last Name:BEARDEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 COUNTY ROAD 1819
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-2860
Mailing Address - Country:US
Mailing Address - Phone:256-640-6870
Mailing Address - Fax:
Practice Address - Street 1:531 COUNTY ROAD 1819
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-2860
Practice Address - Country:US
Practice Address - Phone:256-640-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6394C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical