Provider Demographics
NPI:1225464647
Name:BARBEE, MARY ANNA (MSSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARY ANNA
Middle Name:
Last Name:BARBEE
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 SANDECKER CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-4094
Mailing Address - Country:US
Mailing Address - Phone:919-418-2469
Mailing Address - Fax:919-359-0392
Practice Address - Street 1:2076 NC HIGHWAY 42 W STE 220
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5303
Practice Address - Country:US
Practice Address - Phone:919-550-3323
Practice Address - Fax:919-550-3379
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical