Provider Demographics
NPI:1225055247
Name:BARNHART, MARTIN DOUGLAS (MSW)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:DOUGLAS
Last Name:BARNHART
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 S GRAY ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7010
Mailing Address - Country:US
Mailing Address - Phone:303-933-6257
Mailing Address - Fax:303-933-6257
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:116A1
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-393-5272
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9630101OtherLICENSE