Provider Demographics
NPI:1568195220
Name:BARKWELL, FABEAIN DAMONTE (LCSW)
Entity Type:Individual
Prefix:
First Name:FABEAIN
Middle Name:DAMONTE
Last Name:BARKWELL
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 1:701 FM 685 STE 450
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2899
Mailing Address - Country:US
Mailing Address - Phone:512-379-7728
Mailing Address - Fax:
Practice Address - Street 1:701 FM 685 STE 450
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7095
Practice Address - Country:US
Practice Address - Phone:512-379-7728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical