MEDICARE: STELLA BARRY 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
1	1041C0700X	Clinical Social Worker	CW014353	PA

General Provider Information

NPI Number	:	1952779118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA BARRY LCSW

Provider Business Mailing Address
First Line	:	781 N JUDSON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2507
Country	:	US
Telephone Number	:	215-282-3004
Fax Number	:

Provider Business Practice Location Address
First Line	:	744 E LINCOLN HWY
Second Line	:
City	:	COATESVILLE
State	:	PA
Zip	:	19320-3590
Country	:	US
Telephone Number	:	610-383-5635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	01/08/2026

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