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NPI Code Detail

MEDICARE: JOSEPH BARKER LCSW-A

MEDICARE: JOSEPH BARKER LCSW-A
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 WorkerP012960NC

General Provider Information

NPI Number : 1902378235
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH BARKER LCSW-A
Provider Business Mailing Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-939-6057
Fax Number :
Provider Business Practice Location Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-939-6057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/27/2018

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