Provider Demographics
NPI:1407080914
Name:BELL, JUDITH ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:T
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1121 GRETCHEN LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-3225
Mailing Address - Country:US
Mailing Address - Phone:336-662-2889
Mailing Address - Fax:
Practice Address - Street 1:1635 NC HIGHWAY 66 S STE 175
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3855
Practice Address - Country:US
Practice Address - Phone:336-993-6120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical