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NPI Code Detail

MEDICARE: MS. COLLEEN CLARE BARRETT L.I.S.W.

MEDICARE: MS. COLLEEN CLARE BARRETT L.I.S.W.
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 WorkerI 0005398OH

General Provider Information

NPI Number : 1043287998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. COLLEEN CLARE BARRETT L.I.S.W.
Provider Business Mailing Address
First Line : 246 NORTHLAND DR
Second Line : SUITE 200
City : MEDINA
State : OH
Zip : 44256-1533
Country : US
Telephone Number : 330-725-9195
Fax Number : 330-725-8187
Provider Business Practice Location Address
First Line : 29133 HEALTH CAMPUS DR
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-5256
Country : US
Telephone Number : 330-725-9195
Fax Number : 330-725-8187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 11/28/2018

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