Provider Demographics
NPI:1346302247
Name:SCUPI, BARBARA SPILLMAN (LCSW CLINICAL)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SPILLMAN
Last Name:SCUPI
Suffix:
Gender:F
Credentials:LCSW CLINICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6802 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4166
Mailing Address - Country:US
Mailing Address - Phone:301-652-2689
Mailing Address - Fax:
Practice Address - Street 1:6802 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4166
Practice Address - Country:US
Practice Address - Phone:301-652-2689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD013221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
80394536OtherNAT. ASSN OF SOCIAL WORKE
MN906D7SCOtherBC BS OF MN
MD01322OtherMD BOARD OF SOCIAL WORKER
MDQW85OtherCARE FIRST BC BS OF MD
668101Medicare ID - Type Unspecified