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NPI Code Detail

MEDICARE: MRS. BARBARA ANNE FOUSEK MSW, M.ED. LCSW,ACSW

MEDICARE: MRS. BARBARA ANNE FOUSEK MSW, M.ED. LCSW,ACSW
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
11041C0700XClinical Social WorkerC001156NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126-0758808OTHERNDPROVIDER TAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568435485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA ANNE FOUSEK MSW, M.ED. LCSW,ACSW
Provider Business Mailing Address
First Line : 706 GREEN VALLEY RD
Second Line : SUITE 100
City : GREENSBORO
State : NC
Zip : 27408-7038
Country : US
Telephone Number : 336-272-1972
Fax Number : 336-510-9937
Provider Business Practice Location Address
First Line : 706 GREEN VALLEY RD
Second Line : SUITE 100
City : GREENSBORO
State : NC
Zip : 27408-7038
Country : US
Telephone Number : 336-272-1972
Fax Number : 336-510-9937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 04/18/2012

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