Provider Demographics
NPI:1083609291
Name:REMICK-BARLOW, G ANN (LISW)
Entity Type:Individual
Prefix:
First Name:G
Middle Name:ANN
Last Name:REMICK-BARLOW
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 WESTWIND RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-4536
Mailing Address - Country:US
Mailing Address - Phone:505-526-6040
Mailing Address - Fax:505-523-8837
Practice Address - Street 1:2027 WESTWIND RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4536
Practice Address - Country:US
Practice Address - Phone:505-526-6040
Practice Address - Fax:505-523-8837
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI2560104100000X
TXS19588104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM100636OtherVALUE OPTIONS OF NEW MEXI
NM000F4405Medicaid
NMNM00R9JOtherBLUE CROSS BLUE SHIELD OF