Deanna Lynn Barklage
Individual provider Active NPI Social Worker · Bolivar, MO
NPI 1003611534 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1003611534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2025002103 (MO)
- Practice address
- 112 W Broadway St Ste a
Bolivar, MO 65613-1502 - Phone
- (913) 547-0360
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025002103 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Counseling Consulting & Wellness LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2025002103 | MO | Yes |
Addresses
Primary practice location
112 W Broadway St Ste a
Bolivar, MO 65613-1502
Mailing address
21766 Five Bridges Ave
Cole Camp, MO 65325-2300
Phone (660) 620-9439
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.