Provider Demographics
NPI:1982810982
Name:SHAFFER, BARBARA ANN (LICSW, OSW-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:LICSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 21ST RD N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3167
Mailing Address - Country:US
Mailing Address - Phone:703-312-9454
Mailing Address - Fax:
Practice Address - Street 1:5430 GROSVENOR LN
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2142
Practice Address - Country:US
Practice Address - Phone:301-493-5002
Practice Address - Fax:301-493-5004
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50077081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical