Provider Demographics
NPI:1679626337
Name:BARKER, MAUREEN C (LCSW)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:C
Last Name:BARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MAUREEN
Other - Middle Name:JOY
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCS 17786
Mailing Address - Street 1:124 BOXFORD SQ
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6820
Mailing Address - Country:US
Mailing Address - Phone:916-983-6943
Mailing Address - Fax:
Practice Address - Street 1:2155 IRON POINT RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8707
Practice Address - Country:US
Practice Address - Phone:916-817-5628
Practice Address - Fax:916-817-5610
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 117861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical