Provider Demographics
NPI:1083084289
Name:BARABINO, AUNDI (LMSW, LCSW)
Entity Type:Individual
Prefix:
First Name:AUNDI
Middle Name:
Last Name:BARABINO
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 N. COLUMBIA ST.
Mailing Address - Street 2:P.O. BOX 163
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70434-0163
Mailing Address - Country:US
Mailing Address - Phone:985-302-0245
Mailing Address - Fax:
Practice Address - Street 1:1775 N. COLUMBIA ST.
Practice Address - Street 2:P.O. BOX 163
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70434-0163
Practice Address - Country:US
Practice Address - Phone:985-302-0245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040163201041C0700X
LA139691041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker