Provider Demographics
NPI:1033284690
Name:BARNETT, MAUREEN ROWLEY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ROWLEY
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 LIONS PARK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-1073
Mailing Address - Country:US
Mailing Address - Phone:269-985-0022
Mailing Address - Fax:
Practice Address - Street 1:1105 LIONS PARK DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1073
Practice Address - Country:US
Practice Address - Phone:269-985-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010848941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP52920Medicare PIN