Provider Demographics
NPI:1316362072
Name:BARNETT, LAURA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6498 PHELAN DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-1278
Mailing Address - Country:US
Mailing Address - Phone:248-590-0718
Mailing Address - Fax:
Practice Address - Street 1:6498 PHELAN DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-1278
Practice Address - Country:US
Practice Address - Phone:248-590-0718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011014041041C0700X, 1041C0700X
IL1450161071041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical