Provider Demographics
NPI:1720376239
Name:BARWICK, CRAIG M (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:M
Last Name:BARWICK
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 N. WESTWOOD BLVD
Mailing Address - Street 2:JOHN J PERSHING VA MEDICAL CENTER
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901
Mailing Address - Country:US
Mailing Address - Phone:573-778-4458
Mailing Address - Fax:573-778-4449
Practice Address - Street 1:1500 N. WESTWOOD BLVD
Practice Address - Street 2:JOHN J PERSHING VA MEDICAL CENTER
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901
Practice Address - Country:US
Practice Address - Phone:573-778-4458
Practice Address - Fax:573-778-4449
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO0038581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical