Provider Demographics
NPI:1194946574
Name:BARRETT, DENIA G (MSW)
Entity type:Individual
Prefix:MRS
First Name:DENIA
Middle Name:G
Last Name:BARRETT
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 1:1030 N. CLARK
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:216-849-8858
Mailing Address - Fax:216-321-9594
Practice Address - Street 1:1030 N. CLARK
Practice Address - Street 2:SUITE 303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610
Practice Address - Country:US
Practice Address - Phone:216-849-8858
Practice Address - Fax:216-321-9594
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00014931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical