Provider Demographics
NPI:1124002464
Name:BARTON, KATINA L (MSW LCSW)
Entity type:Individual
Prefix:
First Name:KATINA
Middle Name:L
Last Name:BARTON
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 OREGON PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-581-5255
Mailing Address - Fax:717-581-5259
Practice Address - Street 1:1755 OREGON PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-581-5255
Practice Address - Fax:717-581-5259
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0148811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q30225Medicare UPIN
PA086104Medicare ID - Type Unspecified