Provider Demographics
NPI:1508668807
Name:BARKER, JOSEPH (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BARKER
Suffix:
Gender:
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 RENALDO ST
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6128
Mailing Address - Country:US
Mailing Address - Phone:720-277-5006
Mailing Address - Fax:
Practice Address - Street 1:709 RENALDO ST
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6128
Practice Address - Country:US
Practice Address - Phone:720-277-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14319101YA0400X
TX1046971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)