Healthcare Provider Details

I. General information

NPI: 1265344436
Provider Name (Legal Business Name): SOPHIE HILDA GRACE BARNES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 N BRADFORD ST
DOVER DE
19904-3002
US

IV. Provider business mailing address

328 N BRADFORD ST
DOVER DE
19904-3002
US

V. Phone/Fax

Practice location:
  • Phone: 813-505-8253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27346.
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: