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Individual

MR. JOHNNY MICHEAL BARTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1203 CASTINE CT, PASADENA, MD 21122-2217
(301) 802-1318
(301) 316-4469
Mailing address
1203 CASTINE CT, PASADENA, MD 21122-2217
(301) 802-1318
(301) 316-4469

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
08212
MD
1041C0700X
Clinical Social Worker
Primary
0904006014
VA
1041C0700X
Clinical Social Worker
LC300833
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
386488
MEDICARE
MD
05
7815913
MD
Enumeration date
07/20/2006
Last updated
02/03/2020
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