Healthcare Provider Details

I. General information

NPI: 1942000138
Provider Name (Legal Business Name): ROBERT ANDERTON BARRETT LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ABRECHT PL
FREDERICK MD
21701-4918
US

IV. Provider business mailing address

8322 WILD CHERRY CT
LAUREL MD
20723-1067
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-8263
  • Fax:
Mailing address:
  • Phone: 240-593-0027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31973
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: