Healthcare Provider Details

I. General information

NPI: 1558200212
Provider Name (Legal Business Name): HANNAH MARY BARBER LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10130 PERIMETER PKWY STE AND221
CHARLOTTE NC
28216-2447
US

IV. Provider business mailing address

1050 BECKONING BLVD
CHARLOTTE NC
28269-5260
US

V. Phone/Fax

Practice location:
  • Phone: 704-832-2200
  • Fax: 704-494-7799
Mailing address:
  • Phone: 704-832-2200
  • Fax: 704-838-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022229
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: