Healthcare Provider Details

I. General information

NPI: 1780410258
Provider Name (Legal Business Name): BARBARA JEAN PEARSON LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA J PEARSON LCSWA

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 FINCH ST SE
WILSON NC
27893-6310
US

IV. Provider business mailing address

901 N WINSTEAD AVE
ROCKY MOUNT NC
27804-8467
US

V. Phone/Fax

Practice location:
  • Phone: 856-313-1071
  • Fax:
Mailing address:
  • Phone: 252-686-5020
  • Fax: 252-686-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020433
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: