MEDICARE: MRS. ELISA DIANE BARNETT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW10335	FL

General Provider Information

NPI Number	:	1083878995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISA DIANE BARNETT LCSW

Provider Business Mailing Address
First Line	:	5427 E MADERA STREET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85707-1083
Country	:	US
Telephone Number	:	520-228-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	5427 E MADERA STREET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85707
Country	:	US
Telephone Number	:	520-228-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	04/08/2026

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