Annette Dillard Barry, LCSW

Individual provider Active NPI Clinical Social Worker · No Little Rock, AR

NPI 1902902430 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902902430
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
016C (AR)
Practice address
2200 Fort Roots Drive
Central Ark VA Healthcare 122 NLR
No Little Rock, AR 72114
Phone
(501) 257-3341
Fax
(501) 257-3329
NPI assigned
Sep 15, 2006
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

LicenseStateTypeSpecialty
016CARMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 016C AR Yes

Addresses

Primary practice location

2200 Fort Roots Drive
Central Ark VA Healthcare 122 NLR
No Little Rock, AR 72114

Mailing address

8312 Leatrice Drive
Little Rock, AR 72227
Phone (501) 225-0482

Other providers in No Little Rock, AR

All providers in No Little Rock, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.