MEDICARE: HEATHER BARNES

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	116024	TX

General Provider Information

NPI Number	:	1972451169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER BARNES

Provider Business Mailing Address
First Line	:	2605 YUKON AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79407-1006
Country	:	US
Telephone Number	:	505-879-3836
Fax Number	:

Provider Business Practice Location Address
First Line	:	4031 112TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-6749
Country	:	US
Telephone Number	:	505-879-3836
Fax Number	:

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

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “ HEATHER BARNES ” Practice Location

Language	Start Address	Practice Location

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