Provider Demographics
NPI:1316362072
Name:BARNETT, LAURA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2242 S TELEGRAPH RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302
Mailing Address - Country:US
Mailing Address - Phone:248-590-0718
Mailing Address - Fax:
Practice Address - Street 1:2242 S TELEGRAPH RD
Practice Address - Street 2:SUITE 208
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302
Practice Address - Country:US
Practice Address - Phone:248-590-0718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1460161071041C0700X
IL1490161071041C0700X
IL1450161071041C0700X
MI68011014041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical