Provider Demographics
NPI:1225658826
Name:BARFIELD, CALLIE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:BARFIELD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9096 N TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1967
Mailing Address - Country:US
Mailing Address - Phone:202-812-9833
Mailing Address - Fax:
Practice Address - Street 1:10425 W NORTH AVE STE 236
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2416
Practice Address - Country:US
Practice Address - Phone:414-509-0029
Practice Address - Fax:414-296-8859
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7099-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100210999Medicaid