Provider Demographics
NPI:1851463442
Name:BARBER, ANASTASIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANASTASIA
Middle Name:
Last Name:BARBER
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 1:4303 ALEXANDRIA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3941
Mailing Address - Country:US
Mailing Address - Phone:512-413-8024
Mailing Address - Fax:512-291-8389
Practice Address - Street 1:2525 WALLINGWOOD DR STE 140 BLDG B-1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6937
Practice Address - Country:US
Practice Address - Phone:512-413-8024
Practice Address - Fax:512-291-8389
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0013MXOtherBLUE CROSS BLUE SHIELD
TX612008Medicare ID - Type Unspecified