Healthcare Provider Details

I. General information

NPI: 1194635417
Provider Name (Legal Business Name): MS. MEREDITH BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

529 COURTLANDT AVE
BRONX NY
10451-5007
US

IV. Provider business mailing address

333 E 91ST ST APT 16C
NEW YORK NY
10128-5888
US

V. Phone/Fax

Practice location:
  • Phone: 401-258-6828
  • Fax:
Mailing address:
  • Phone: 401-258-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: