Provider Demographics
NPI:1780410258
Name:PEARSON, BARBARA JEAN (LCSW-A)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSWA
Mailing Address - Street 1:901 N WINSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8467
Mailing Address - Country:US
Mailing Address - Phone:252-686-5020
Mailing Address - Fax:252-686-5069
Practice Address - Street 1:310 FINCH ST SE
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-6310
Practice Address - Country:US
Practice Address - Phone:856-313-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0204331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical