1427042886 NPI number — MRS. BARBARA P GLATTHORN LCSW

Table of content: MRS. BARBARA P GLATTHORN LCSW (NPI 1427042886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427042886 NPI number — MRS. BARBARA P GLATTHORN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GLATTHORN
Provider First Name:
BARBARA
Provider Middle Name:
P
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427042886
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 E 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27889-4923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-975-2027
Provider Business Mailing Address Fax Number:
252-975-3483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 E 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27889-4923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-975-2027
Provider Business Practice Location Address Fax Number:
252-975-3483
Provider Enumeration Date:
08/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C000487 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00099269 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 241031 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20588098 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6002164 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: IG016678 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 017564 . This is a "VMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 35742 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 020568792 . This is a "CHAMPUS TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6251168 . This is a "UBH" identifier . This identifiers is of the category "OTHER".




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