Provider Demographics
NPI:1669670402
Name:BARNETT, NANCY KRETZER (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KRETZER
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 BRENTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-5801
Mailing Address - Country:US
Mailing Address - Phone:301-371-0606
Mailing Address - Fax:
Practice Address - Street 1:6005 BRENTWOOD AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-5801
Practice Address - Country:US
Practice Address - Phone:301-371-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD024511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical