Provider Demographics
NPI:1659145324
Name:BARNES, QUINETTA CHERYL (LCSWA)
Entity Type:Individual
Prefix:MS
First Name:QUINETTA
Middle Name:CHERYL
Last Name:BARNES
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 W CITY DR STE G
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-9676
Mailing Address - Country:US
Mailing Address - Phone:252-656-5799
Mailing Address - Fax:
Practice Address - Street 1:1825 W CITY DR STE G
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-9676
Practice Address - Country:US
Practice Address - Phone:252-656-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0179151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical