Provider Demographics
NPI:1659489441
Name:BARRETT, ARNOLD SHELDON (MSW)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:SHELDON
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1012
Mailing Address - Country:US
Mailing Address - Phone:509-525-1210
Mailing Address - Fax:509-525-1210
Practice Address - Street 1:118 SE 6TH ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1249
Practice Address - Country:US
Practice Address - Phone:509-525-1210
Practice Address - Fax:509-525-1210
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA54321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical