Provider Demographics
NPI:1366639684
Name:BARNES, RHONDA MICHELE (LCSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:MICHELE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-4921
Mailing Address - Country:US
Mailing Address - Phone:479-252-6891
Mailing Address - Fax:479-996-7846
Practice Address - Street 1:300 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936
Practice Address - Country:US
Practice Address - Phone:479-252-6891
Practice Address - Fax:479-996-7846
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2716-B104100000X, 1041S0200X
AR3171-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR190947795Medicaid