Provider Demographics
NPI:1467752428
Name:BARNES, DUANE JAMES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:JAMES
Last Name:BARNES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 N PEACOCK AVE
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32347-2117
Mailing Address - Country:US
Mailing Address - Phone:850-584-8653
Mailing Address - Fax:850-584-8653
Practice Address - Street 1:1215 N PEACOCK AVE
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-2117
Practice Address - Country:US
Practice Address - Phone:850-584-8653
Practice Address - Fax:850-584-8653
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 91511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical