Provider Demographics
NPI:1437448065
Name:BARNABY, KIM ROBIN
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:ROBIN
Last Name:BARNABY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:ROBIN
Other - Last Name:GENDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:46 BACON HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-3118
Mailing Address - Country:US
Mailing Address - Phone:508-826-8139
Mailing Address - Fax:
Practice Address - Street 1:46 BACON HILL RD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-3118
Practice Address - Country:US
Practice Address - Phone:508-826-8139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker