Provider Demographics
NPI:1578642260
Name:BRINTON, BARBARA F (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:F
Last Name:BRINTON
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 1:560 W CANFIELD AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-7950
Mailing Address - Country:US
Mailing Address - Phone:208-758-7111
Mailing Address - Fax:888-398-4676
Practice Address - Street 1:560 W CANFIELD AVE
Practice Address - Street 2:STE 300
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-7950
Practice Address - Country:US
Practice Address - Phone:208-758-7111
Practice Address - Fax:888-398-4676
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID11571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1697135Medicare PIN