Matey Barker, LCADC, LGSW
Individual provider Active NPI Social Worker · Westover, MD
NPI 1679904262 · NPPES record last updated Dec 6, 2013
Key facts
- NPI
- 1679904262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- G10612 (MD)
- Practice address
- 7920 Crisfield Hwy
Westover, MD 21871-3922 - Phone
- (443) 523-1792
- Fax
- (410) 651-3189
- NPI assigned
- Dec 6, 2013
- 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 |
|---|---|---|---|
| LCA397 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| G10612 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA397 | MD | |
| Social Worker | 104100000X | G10612 | MD | Yes |
Addresses
Primary practice location
7920 Crisfield Hwy
Westover, MD 21871-3922
Mailing address
7920 Crisfield Hwy
Westover, MD 21871-3922
Phone (443) 523-1792
Other providers in Westover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2013. 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.