Provider Demographics
NPI:1457675431
Name:BARRIS, MARGARET (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BARRIS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 KEY HWY # 301-M
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5189
Mailing Address - Country:US
Mailing Address - Phone:410-752-3640
Mailing Address - Fax:410-752-8043
Practice Address - Street 1:1414 KEY HWY # 301-M
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5189
Practice Address - Country:US
Practice Address - Phone:410-752-3640
Practice Address - Fax:410-752-8043
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD088111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQF30MHOtherCAREFIRST MD
288502OtherMHN
MD354311101Medicaid
6029-01OtherPACIFIC CARE
MD108922OtherV.O. , TRICARE
MD3068481OtherAETNA
IP 160353OtherMHB
DCR1190001OtherCAREFIRST FEP DC
MD172348000OtherMIS MAGELLAN
MD354311100Medicaid