Provider Demographics
NPI:1366644536
Name:HARTMAN, BARBARA J (MSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 OLD OAK RIDGE RD
Mailing Address - Street 2:4706
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8468
Mailing Address - Country:US
Mailing Address - Phone:336-317-6151
Mailing Address - Fax:336-232-1440
Practice Address - Street 1:5855 OLD OAK RIDGE RD
Practice Address - Street 2:4706
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8468
Practice Address - Country:US
Practice Address - Phone:336-317-6151
Practice Address - Fax:336-232-1440
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0470161041C0700X
NCC0089011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100064996Medicare UPIN