Provider Demographics
NPI:1609264860
Name:BARNES, ANTOINETTE ALBERTA (LICSW)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:ALBERTA
Last Name:BARNES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 G ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3104
Mailing Address - Country:US
Mailing Address - Phone:202-552-7378
Mailing Address - Fax:
Practice Address - Street 1:1325 G ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3104
Practice Address - Country:US
Practice Address - Phone:202-552-7378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500813661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical