Provider Demographics
NPI:1346537719
Name:BARNETT, LEWIS EUGENE JR (LCSWC, LICSW)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:EUGENE
Last Name:BARNETT
Suffix:JR
Gender:M
Credentials:LCSWC, LICSW
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Mailing Address - Street 1:9650 SANTIAGO RD
Mailing Address - Street 2:# 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3957
Mailing Address - Country:US
Mailing Address - Phone:410-995-5587
Mailing Address - Fax:410-992-1779
Practice Address - Street 1:9650 SANTIAGO RD
Practice Address - Street 2:# 101
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3957
Practice Address - Country:US
Practice Address - Phone:410-995-5587
Practice Address - Fax:410-992-1779
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD143711041C0700X
DCLC5000786141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical