Provider Demographics
NPI:1720736994
Name:BARNEY, COURTNEY ALLISON (LCSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ALLISON
Last Name:BARNEY
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 1:8573 W 99TH TER APT 206
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1290
Mailing Address - Country:US
Mailing Address - Phone:708-772-9999
Mailing Address - Fax:
Practice Address - Street 1:6748 W 111TH ST
Practice Address - Street 2:
Practice Address - City:WORTH
Practice Address - State:IL
Practice Address - Zip Code:60482-1912
Practice Address - Country:US
Practice Address - Phone:708-361-9701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490242501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical