Provider Demographics
NPI:1891086435
Name:STEPHENS, BARBARA JEAN (LCSW LISW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:LCSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12419 SOMERSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4542
Mailing Address - Country:US
Mailing Address - Phone:859-391-4924
Mailing Address - Fax:
Practice Address - Street 1:12419 SOMERSWORTH DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-4542
Practice Address - Country:US
Practice Address - Phone:859-391-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-01
Last Update Date:2011-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52611041C0700X
KY33311041C0700X
OHI.0900142.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical