Provider Demographics
NPI:1972743045
Name:BARNOSKY, MARSHA MCDANIEL (LMSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:MCDANIEL
Last Name:BARNOSKY
Suffix:
Gender:F
Credentials:LMSW, ACSW
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Other - First Name:
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Mailing Address - Street 1:2496 E TURNING LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:FRUITPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49415-8880
Mailing Address - Country:US
Mailing Address - Phone:616-402-8327
Mailing Address - Fax:616-974-6459
Practice Address - Street 1:950 TAYLOR AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2282
Practice Address - Country:US
Practice Address - Phone:616-402-8327
Practice Address - Fax:616-974-6459
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010196801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical