Provider Demographics
NPI:1053800672
Name:WILCOX-BARNER, PAULNETTA A (LSW)
Entity type:Individual
Prefix:MRS
First Name:PAULNETTA
Middle Name:A
Last Name:WILCOX-BARNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:PAULNETTA
Other - Middle Name:A
Other - Last Name:BARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:105 E CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3435
Mailing Address - Country:US
Mailing Address - Phone:931-378-3595
Mailing Address - Fax:
Practice Address - Street 1:105 E CARLTON RD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953
Practice Address - Country:US
Practice Address - Phone:931-378-3595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1802171104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty