MEDICARE: CYNTHIA BARRETT 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	SW 10154	FL

General Provider Information

NPI Number	:	1811993843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA BARRETT LCSW

Provider Business Mailing Address
First Line	:	201 INDEPENDENCE
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39710-5300
Country	:	US
Telephone Number	:	662-434-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 INDEPENDENCE
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39710-5300
Country	:	US
Telephone Number	:	662-434-2273
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/19/2015

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