Provider Demographics
NPI:1578335725
Name:CAINES, BARBARA L (MSW;PEL)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:CAINES
Suffix:
Gender:F
Credentials:MSW;PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 W NORTH SHORE AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5601
Mailing Address - Country:US
Mailing Address - Phone:847-275-1868
Mailing Address - Fax:
Practice Address - Street 1:444 SKOKIE BLVD STE 340
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3074
Practice Address - Country:US
Practice Address - Phone:847-906-3092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker