Provider Demographics
NPI:1790849214
Name:STARR, BARBARA LEONE (LICSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEONE
Last Name:STARR
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 TERRA BELLA LN
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-8091
Mailing Address - Country:US
Mailing Address - Phone:360-622-6143
Mailing Address - Fax:
Practice Address - Street 1:1012 TERRA BELLA LN
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-8091
Practice Address - Country:US
Practice Address - Phone:360-622-6143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
WALW00005038104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical