Provider Demographics
NPI:1033200035
Name:LIND, BARBARA ANN (LISW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:LIND
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-7913
Mailing Address - Country:US
Mailing Address - Phone:319-277-7218
Mailing Address - Fax:888-501-1525
Practice Address - Street 1:1605 1ST AVE N
Practice Address - Street 2:STE 3
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4238
Practice Address - Country:US
Practice Address - Phone:319-277-7218
Practice Address - Fax:888-501-1525
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA064321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical