Provider Demographics
NPI:1699791830
Name:BARRON, TERRI CHRISTINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:CHRISTINE
Last Name:BARRON
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 1:1600 LAKESIDE DR.
Mailing Address - Street 2:LYNCHBURG CBOC
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-610-0184
Mailing Address - Fax:434-316-7071
Practice Address - Street 1:1600 LAKESIDE DR.
Practice Address - Street 2:LYNCHBURG CBOC
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-316-5000
Practice Address - Fax:434-316-7071
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040012801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA193671OtherBCBS
VA010252954Medicaid
VA193671OtherBCBS