Provider Demographics
NPI:1558838805
Name:BARRETT BURDEN, SHEENA RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHEENA
Middle Name:RENEE
Last Name:BARRETT BURDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 SADLER DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9868
Mailing Address - Country:US
Mailing Address - Phone:252-916-5570
Mailing Address - Fax:252-752-2228
Practice Address - Street 1:300 E ARLINGTON BLVD
Practice Address - Street 2:STE 9A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5050
Practice Address - Country:US
Practice Address - Phone:252-916-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0127141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical