Individual provider Active NPI

Darlene Teresa Barbour-Shirley, LICSW-DC, LCSW-C MD

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1770160111
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302740 Issued in DC
Practice address
15204 Plane Tree CT
Bowie, MD 20721-3020
Phone
(301) 602-4034
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC302740 DC Primary

Addresses

Primary practice location

15204 Plane Tree CT
Bowie, MD 20721-3020

Mailing address

15204 Plane Tree CT
Bowie, MD 20721-3020
Phone (301) 602-4034

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1770160111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 PLANE TREE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213020",
            "telephone_number": "301-602-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 PLANE TREE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213020",
            "telephone_number": "301-602-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR-SHIRLEY",
        "first_name": "DARLENE",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "LICSW-DC, LCSW-C MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.