Provider Demographics
NPI:1316264773
Name:BARNEY, VIRGINIA MAY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:MAY
Last Name:BARNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WOOD RUN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-6665
Mailing Address - Country:US
Mailing Address - Phone:919-499-6524
Mailing Address - Fax:
Practice Address - Street 1:109 WOOD RUN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-6665
Practice Address - Country:US
Practice Address - Phone:919-499-6524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0066611041C0700X
NC235365163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health