Provider Demographics
NPI:1710348990
Name:BARNES, BRIANA (LGSW)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 HANOVER PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7211 HANOVER PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2017
Practice Address - Country:US
Practice Address - Phone:240-803-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21464104100000X
DCLG50081121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker