Provider Demographics
NPI:1568564508
Name:BARFOOT, RICHARD H (LCSW LAC CCGC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:H
Last Name:BARFOOT
Suffix:
Gender:M
Credentials:LCSW LAC CCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 S GRAND ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-6412
Mailing Address - Country:US
Mailing Address - Phone:318-362-3339
Mailing Address - Fax:318-362-3336
Practice Address - Street 1:4800 S GRAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-6412
Practice Address - Country:US
Practice Address - Phone:318-362-3339
Practice Address - Fax:318-362-3336
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA27101Y00000X
LA782101YA0400X
LA45371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3C191DR89Medicare PIN