Provider Demographics
NPI:1467532275
Name:BARNETT, CATHERINE ROCKWELL (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ROCKWELL
Last Name:BARNETT
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 1:6706 N 9TH AVE
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-9303
Mailing Address - Country:US
Mailing Address - Phone:850-501-3289
Mailing Address - Fax:850-478-2372
Practice Address - Street 1:6706 N 9TH AVE
Practice Address - Street 2:SUITE A-4
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-9303
Practice Address - Country:US
Practice Address - Phone:850-501-3289
Practice Address - Fax:850-478-2372
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8986Medicare ID - Type Unspecified
FLZ8986Medicare UPIN