Provider Demographics
NPI:1164569000
Name:BARNETT, LUE A (LISW)
Entity Type:Individual
Prefix:
First Name:LUE
Middle Name:A
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:LUE
Other - Middle Name:A
Other - Last Name:DEVENY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:1950 MOUNT SAINT MARYS DR
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1280
Practice Address - Country:US
Practice Address - Phone:740-797-2352
Practice Address - Fax:740-775-9159
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00100801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2033426Medicare PIN
OH2033424Medicare PIN
OH2033425Medicare PIN
OH2033421Medicare PIN
OH2033422Medicare PIN
OH2033423Medicare PIN