Provider Demographics
NPI:1770662132
Name:BARRON, KATHARINE MCGUINNESS (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:MCGUINNESS
Last Name:BARRON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-4002
Mailing Address - Country:US
Mailing Address - Phone:617-298-4420
Mailing Address - Fax:
Practice Address - Street 1:222 CENTRE ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-4002
Practice Address - Country:US
Practice Address - Phone:617-298-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10305061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical