Doctor Name: | MR. TRACY BARNES |
NPI Number: | 1053395616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW LICSW |
License Number: | 1016291 |
Business Practice Address: | 11 River St Wellesley, MA - 024812098 |
Business Phone Number: | 7814311177 |
Business Fax Number: | 7814311181 |
Mailing Address: | 11 River St, WELLESLEY |
State: | MA |
Postal Code: | 024812098 |
Phone Number: | 7814311177 |
Fax Number: | 7814311181 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1016291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |