Healthcare Provider Details

I. General information

NPI: 1023584786
Provider Name (Legal Business Name): BELINDA BARBER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 STAFFORD RD
BARSTOW MD
20610
US

IV. Provider business mailing address

801 YARDLEY DR
PRINCE FREDERICK MD
20678-3253
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-3079
  • Fax:
Mailing address:
  • Phone: 301-848-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number23286
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: