Provider Demographics
NPI:1649515024
Name:BARTON, LAURA BETH (LCSW, PA-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BETH
Last Name:BARTON
Suffix:
Gender:F
Credentials:LCSW, PA-C
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:BETH
Other - Last Name:CHAVKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 US HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-7779
Practice Address - Country:US
Practice Address - Phone:919-739-4808
Practice Address - Fax:919-739-4810
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-09440363A00000X
FLSW91301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical