Provider Demographics
NPI:1033341284
Name:LONDO, BARBARA JO (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JO
Last Name:LONDO
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 UNIVERSITY AVE SE STE 204
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-4205
Mailing Address - Country:US
Mailing Address - Phone:612-331-4429
Mailing Address - Fax:612-331-3520
Practice Address - Street 1:2800 UNIVERSITY AVE SE STE 204
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4205
Practice Address - Country:US
Practice Address - Phone:612-331-4429
Practice Address - Fax:612-331-3520
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN168971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical