Provider Demographics
NPI:1134407588
Name:BARBER, WILLIE LEE (LCSW-C)
Entity type:Individual
Prefix:DR
First Name:WILLIE
Middle Name:LEE
Last Name:BARBER
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 NORTHWICK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1604
Mailing Address - Country:US
Mailing Address - Phone:410-433-0036
Mailing Address - Fax:410-433-0036
Practice Address - Street 1:8967 YELLOW BRICK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-2303
Practice Address - Country:US
Practice Address - Phone:410-780-5203
Practice Address - Fax:410-780-5205
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD014031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical