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NPI Code Detail

MEDICARE: MRS. ROBIN JANELLE BARNES LCSW

MEDICARE: MRS. ROBIN JANELLE BARNES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1154-CAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033115001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN JANELLE BARNES LCSW
Provider Business Mailing Address
First Line : PO BOX 497
Second Line :
City : AUGUSTA
State : AR
Zip : 72006-0497
Country : US
Telephone Number : 703-472-5348
Fax Number : 870-347-1235
Provider Business Practice Location Address
First Line : 2904 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-2536
Country : US
Telephone Number : 870-773-4655
Fax Number : 870-772-4650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 04/06/2021

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