Provider Demographics
NPI:1396503090
Name:BARRER, KATELYNN JOINER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATELYNN
Middle Name:JOINER
Last Name:BARRER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 STONEY BEND CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-6773
Mailing Address - Country:US
Mailing Address - Phone:803-606-2563
Mailing Address - Fax:
Practice Address - Street 1:7951 STONEY BEND CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259-6773
Practice Address - Country:US
Practice Address - Phone:803-606-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL13198821041S0200X
IL149.0256821041C0700X
IN34010988A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool