Provider Demographics
NPI:1124213491
Name:GARRETT, BARBARA GINA (LICSW; LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:GINA
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LICSW; LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8406 SIX FORKS ROAD
Mailing Address - Street 2:SUITE 201 AND 204
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5916
Mailing Address - Country:US
Mailing Address - Phone:919-617-9656
Mailing Address - Fax:919-617-9656
Practice Address - Street 1:8406 SIX FORKS ROAD
Practice Address - Street 2:SUITE 201 AND 204
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5916
Practice Address - Country:US
Practice Address - Phone:919-617-9656
Practice Address - Fax:919-617-9656
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3027001041C0700X
NCC0058531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical