Mindy Sue Barnes, LMSW
Individual provider Active NPI Social Worker · Johnson City, NY
NPI 1073273249 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1073273249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 104806 (NY)
- Practice address
- 173 Burbank Ave
Johnson City, NY 13790-3002 - Phone
- (570) 396-6239
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 104806 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104806 | NY | Yes |
Addresses
Primary practice location
173 Burbank Ave
Johnson City, NY 13790-3002
Mailing address
173 Burbank Ave
Johnson City, NY 13790-3002
Phone (570) 396-6239
Other names
- Mindy Sue Davis
Other providers in Johnson City, NY
- Edward Balaci
- Rahal Balasuriya
- Reilley Baldwin
- Vicki Bange
- Shannon Elizabeth Baransky
- Carolynn Renee Barnett
- Jill Baron
- Mary L Barr
- Barret T J. Raff,DDS
- Amanda Bartleson-Taylor
All providers in Johnson City, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. 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.