Provider Demographics
NPI:1285605972
Name:BARBER, LISA ANNETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANNETTE
Last Name:BARBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:611 OLD DOMINION RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-4738
Mailing Address - Country:US
Mailing Address - Phone:757-898-0676
Mailing Address - Fax:757-314-7576
Practice Address - Street 1:MCDONALD ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:USAMEDDAC, BLDG 515
Practice Address - City:FT. EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604
Practice Address - Country:US
Practice Address - Phone:757-314-7910
Practice Address - Fax:757-314-7576
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040039481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical