Provider Demographics
NPI:1427090083
Name:MCGOWAN, BARBARA C (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:MCGOWAN
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 1:105 E MASSACHUSETTS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-6131
Mailing Address - Country:US
Mailing Address - Phone:910-692-9200
Mailing Address - Fax:
Practice Address - Street 1:105 E MASSACHUSETTS AVE STE C
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6131
Practice Address - Country:US
Practice Address - Phone:910-692-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0049131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106190Medicaid
NC2871505Medicare ID - Type Unspecified