Provider Demographics
NPI:1497924807
Name:DALE, BARBARA WARSHAW (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:WARSHAW
Last Name:DALE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EDGEWOOD AVE NE
Mailing Address - Street 2:SUITE 915
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3026
Mailing Address - Country:US
Mailing Address - Phone:404-527-8006
Mailing Address - Fax:404-527-0677
Practice Address - Street 1:100 EDGEWOOD AVE NE
Practice Address - Street 2:SUITE 915
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3026
Practice Address - Country:US
Practice Address - Phone:404-527-8006
Practice Address - Fax:404-527-0677
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0006021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical