Provider Demographics
NPI:1558554568
Name:JAMES, BARBARA K (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:JAMES
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 1:2721 NALL ST
Mailing Address - Street 2:
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-5222
Mailing Address - Country:US
Mailing Address - Phone:409-988-5885
Mailing Address - Fax:409-724-3007
Practice Address - Street 1:2721 NALL ST
Practice Address - Street 2:
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-5222
Practice Address - Country:US
Practice Address - Phone:409-988-5885
Practice Address - Fax:409-724-3007
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189594802Medicaid
TX613873Medicare PIN