Provider Demographics
NPI:1427042886
Name:GLATTHORN, BARBARA P (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:P
Last Name:GLATTHORN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4923
Mailing Address - Country:US
Mailing Address - Phone:252-975-2027
Mailing Address - Fax:252-975-3483
Practice Address - Street 1:105 E 3RD ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4923
Practice Address - Country:US
Practice Address - Phone:252-975-2027
Practice Address - Fax:252-975-3483
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0004871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00099269OtherMEDICARE RAILROAD
241031OtherMHN
20588098OtherCIGNA
NC6002164Medicaid
IG016678OtherMAGELLAN
017564OtherVMC
35742OtherBCBS
020568792OtherCHAMPUS TRICARE
6251168OtherUBH
IG016678OtherMAGELLAN