Provider Demographics
NPI:1124254594
Name:BARMORE, BERNADETTE THOMAS (MSW)
Entity type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:THOMAS
Last Name:BARMORE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9837 TOLWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2023
Mailing Address - Country:US
Mailing Address - Phone:410-521-3822
Mailing Address - Fax:
Practice Address - Street 1:9006 LIBERTY RD STE 2
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-3931
Practice Address - Country:US
Practice Address - Phone:410-496-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD015291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical