Kiaisha Barber, LCSW-C
Individual provider Active NPI Clinical Social Worker · College Park, MD
NPI 1699224832 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1699224832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16582 (MD)
- Practice address
- 4912 Nantucket Rd
College Park, MD 20740-1458 - Phone
- (240) 487-3550
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 16582 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of College Park | Clinical | Current |
Accepting new patients |
| Tri-County Youth Services Bureau, Inc. | Past | Accepting new patients | |
| Tri-County Youth Services Bureau, Inc | Past | Accepting new patients |
Locations
4912 Nantucket Rd
College Park, MD 20740
Phone (240) 487-3550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16582 | MD | Yes |
Addresses
Primary practice location
4912 Nantucket Rd
College Park, MD 20740-1458
Mailing address
4912 Nantucket Rd
College Park, MD 20740-1458
Other providers in College Park, MD
- Kori Baltimore
- Kenneth Nyasa Bambot
- Sidratu Bangura
- Angela Marie Banks-Smith
- Alpha Teresa Banks
- Beidi A Bare
- Ronald Baum
- Stephen Christopher Baur
- BD Best Behavioral Health, Inc
- Stephanie Bean
All providers in College Park, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. 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.