Provider Demographics
NPI:1417212457
Name:BARANSKI, DEBORAH L (MS, LBSW, CAADC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:BARANSKI
Suffix:
Gender:F
Credentials:MS, LBSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-2349
Mailing Address - Country:US
Mailing Address - Phone:248-836-0196
Mailing Address - Fax:248-836-0199
Practice Address - Street 1:54 SENECA ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-2349
Practice Address - Country:US
Practice Address - Phone:248-836-0196
Practice Address - Fax:248-836-0199
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL 1741086104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker