Kenneth Robert Barrett Jr., LCSW

Individual provider Active NPI Social Worker · Dedham, MA

NPI 1093051906 · NPPES record last updated Dec 20, 2012

Key facts

NPI
1093051906
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
210207 (MA)
Practice address
280 Bridge St
Suite 230
Dedham, MA 02026-1759
Phone
(781) 320-7607
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
210207MAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 210207 MA Yes

Addresses

Primary practice location

280 Bridge St
Suite 230
Dedham, MA 02026-1759

Mailing address

280 Bridge St
Suite 230
Dedham, MA 02026-1759
Phone (781) 320-7607

Other providers in Dedham, MA

All providers in Dedham, MA · Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.