Provider Demographics
NPI:1730576034
Name:GREENWOOD, BARRETT SCOTT (LMFT, CADC-I)
Entity type:Individual
Prefix:MR
First Name:BARRETT
Middle Name:SCOTT
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:LMFT, CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 339500 BLDG 2008B
Mailing Address - Street 2:ARMY SUBSTANCE ABUSE PROGRAM (ASAP)
Mailing Address - City:JOINT BASE LEWIS-MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98433-9500
Mailing Address - Country:US
Mailing Address - Phone:253-967-2202
Mailing Address - Fax:
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-9500
Practice Address - Country:US
Practice Address - Phone:253-967-5696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-05-12101YA0400X
106H00000X
WA60756577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)