Provider Demographics
NPI:1932729936
Name:BARRY, APRIL D (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:BARRY
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 1:348 FARMALL RD
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17028-9360
Mailing Address - Country:US
Mailing Address - Phone:717-329-3107
Mailing Address - Fax:
Practice Address - Street 1:1023 MUMMA RD STE 200
Practice Address - Street 2:
Practice Address - City:WORMLEYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17043-1164
Practice Address - Country:US
Practice Address - Phone:717-522-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-20
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012267L104100000X
PACW0224691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker