Bryan K Barros, LCSW
Individual provider Active NPI Social Worker · Smithfield, NC
NPI 1356776868 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1356776868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 509 N Brightleaf Blvd
Smithfield, NC 27577-4407 - Phone
- (919) 938-7626
- NPI assigned
- Sep 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgemark, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Mailing address
2020 Elmwood Ave
Warwick, RI 02888-2404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050358120 | Medicaid | RI |
Other providers in Smithfield, NC
- Danielle Francoise Barbour
- Raquel Evette Barbour
- Andrea Dawn Barefoot
- Emily B Barefoot
- Lynn Stephenson Barefoot
- Adolpha Bassett
- Lawson Batten
- Charnissa Nicole Batts
- Zanetta Batts
- Teresa M Bau
All providers in Smithfield, NC · Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. 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.