Provider Demographics
NPI:1942327853
Name:BARLAMAS, ANGELIQUE (LSW)
Entity Type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:
Last Name:BARLAMAS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ANGELIQUE
Other - Middle Name:
Other - Last Name:STRAIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 BEAVER GRADE RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6200 STEUBENVILLE PIKE STE 101A
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-4305
Practice Address - Country:US
Practice Address - Phone:412-979-3732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0231041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019767280002Medicaid