Provider Demographics
NPI:1467996850
Name:MONEYMAKER-BARKER, KATHERINE (LCSWA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MONEYMAKER-BARKER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 NC 54
Mailing Address - Street 2:APT V7
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1512
Mailing Address - Country:US
Mailing Address - Phone:620-481-6001
Mailing Address - Fax:
Practice Address - Street 1:112 NC 54
Practice Address - Street 2:APT V7
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1512
Practice Address - Country:US
Practice Address - Phone:620-481-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0111451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical