Provider Demographics
NPI:1043396138
Name:BLOCKER, BARBARA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:BLOCKER
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 1:10635 CARENA CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-6819
Mailing Address - Country:US
Mailing Address - Phone:352-587-5830
Mailing Address - Fax:
Practice Address - Street 1:10635 CARENA CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-6819
Practice Address - Country:US
Practice Address - Phone:352-587-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW68541041C0700X
TX675431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical