Mary Elizabeth Barlow, PHD

Individual provider Active NPI Clinical Social Worker · Lucedale, MS

NPI 1376908533 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1376908533
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C11020 (MS)
Practice address
1128 Wayne Lee Rd
Lucedale, MS 39452-7233
Phone
(866) 846-7765
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1128 Wayne Lee Rd
Lucedale, MS 39452-7233
Phone (866) 846-7765

6 Liberty SQ
Suite 6096
Boston, MA 02109-5800
Phone (866) 846-7765

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS, MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250205001361 MS Practitioner - Clinical Social Worker 4981134020 Reassigns benefits to 1 organization
I20250521001460 MA Practitioner - Clinical Social Worker 4981134020 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68965TXMDProfessional Counselor
TPSW2600FLMDClinical Social Worker
000124632MAMDClinical Social Worker
31367MDMDClinical Social Worker
C11020MSMDClinical Social Worker
0904014966VAMDClinical Social Worker
0-51755-1BVIMDClinical Social Worker
TH00946107WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barlow Counseling Group LLC Clinical Current Accepting new patients
Kinder Mind LLC Clinical Current
since Jan 1, 2023
Accepting new patients

Locations

6 Liberty Sq
Boston, MA 02109
Phone (423) 827-5300

5900 Balcones Dr
Ste 100
Austin, TX 78731

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014966 VA
Clinical Social Worker 1041C0700X 31367 MD
Clinical Social Worker 1041C0700X 000124632 MA
Clinical Social Worker 1041C0700X 0-51755-1B VI
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 68965 TX
Clinical Social Worker 1041C0700X TPSW2600 FL
Clinical Social Worker 1041C0700X TH00946107 WV
Clinical Social Worker 1041C0700X C11020 MS Yes

Addresses

Primary practice location

1128 Wayne Lee Rd
Lucedale, MS 39452-7233

Mailing address

8 The GRN Ste a
Dover, DE 19901-3618
Phone (301) 200-1165

Other practice location 1

405 E Laburnum Ave Ste 3
Richmond, VA 23222-2134
Phone (301) 200-1165

Other practice location 2

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (866) 846-7765

Other practice location 3

6 Liberty Sq
Boston, MA 02109-5800
Phone (508) 322-1487

Other providers in Lucedale, MS

All providers in Lucedale, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.