Provider Demographics
NPI:1790061521
Name:BARKER, ANNE E (LIMHP, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:E
Last Name:BARKER
Suffix:
Gender:F
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 COUNTRY CLUB AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4222
Mailing Address - Country:US
Mailing Address - Phone:402-715-9710
Mailing Address - Fax:
Practice Address - Street 1:6910 PACIFIC ST
Practice Address - Street 2:SUITE 320
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-1054
Practice Address - Country:US
Practice Address - Phone:402-715-9710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2428, 10461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical