=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386651255
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROSA C BARNES LCSW, MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/02/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | # 6 CHELSEA SQUARE
-----------------------------------------------------
City | MILLSBORO
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-934-7807
-----------------------------------------------------
Fax | 302-934-5641
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | # 6 CHELSEA SQUARE P.O. BOX 940
-----------------------------------------------------
City | MILLSBORO
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-934-7807
-----------------------------------------------------
Fax | 302-934-5641
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | Q1-0000549
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------