Provider Demographics
NPI:1609078062
Name:REDINGER, BARBARA R (LCSW, PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:REDINGER
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:RAINWATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, PHD
Mailing Address - Street 1:3955 E EXPOSITION AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5000
Mailing Address - Country:US
Mailing Address - Phone:303-715-0383
Mailing Address - Fax:303-715-0383
Practice Address - Street 1:3955 E EXPOSITION AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5000
Practice Address - Country:US
Practice Address - Phone:303-715-0383
Practice Address - Fax:303-715-0383
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9890641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07890643Medicaid
COC64486Medicare PIN