Provider Demographics
NPI:1093324188
Name:BARROW, FREDERICA H (PHD, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:FREDERICA
Middle Name:H
Last Name:BARROW
Suffix:
Gender:F
Credentials:PHD, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 S CAMP MEADE RD STE 4-5
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2766
Mailing Address - Country:US
Mailing Address - Phone:443-354-8903
Mailing Address - Fax:443-410-0643
Practice Address - Street 1:518 SOUTH CAMP MEADE ROAD
Practice Address - Street 2:STE 4-5
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2766
Practice Address - Country:US
Practice Address - Phone:443-354-8903
Practice Address - Fax:443-410-0643
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD016901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical