Provider Demographics
NPI:1043438344
Name:BARTHEL, GLORIA JEAN (LCSW MSW)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:JEAN
Last Name:BARTHEL
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:JEAN
Other - Last Name:SAMANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW MSW
Mailing Address - Street 1:122 LARK LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-9038
Mailing Address - Country:US
Mailing Address - Phone:219-707-1370
Mailing Address - Fax:
Practice Address - Street 1:282 CHOPTANK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-6481
Practice Address - Country:US
Practice Address - Phone:219-707-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33005224A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical