Provider Demographics
NPI:1952912776
Name:BARTON, CHERRELLE LATRICE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERRELLE
Middle Name:LATRICE
Last Name:BARTON
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 1:11759 DEER ML
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-4471
Mailing Address - Country:US
Mailing Address - Phone:210-683-1783
Mailing Address - Fax:
Practice Address - Street 1:11759 DEER ML
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-4471
Practice Address - Country:US
Practice Address - Phone:210-683-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical