Provider Demographics
NPI:1578532453
Name:CHENAULT, BARBARA FAY (MSW LISW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:FAY
Last Name:CHENAULT
Suffix:
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 DECAMP RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8938
Mailing Address - Country:US
Mailing Address - Phone:513-756-0606
Mailing Address - Fax:513-756-0556
Practice Address - Street 1:10 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1182
Practice Address - Country:US
Practice Address - Phone:513-523-5897
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00038781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCHSW16661Medicare ID - Type Unspecified