Provider Demographics
NPI:1679597538
Name:BINDER, BARBARA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BINDER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:NASHOTAH
Mailing Address - State:WI
Mailing Address - Zip Code:53058-0092
Mailing Address - Country:US
Mailing Address - Phone:262-367-2476
Mailing Address - Fax:866-495-8380
Practice Address - Street 1:155 E CAPITOL DR STE 6A
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-2143
Practice Address - Country:US
Practice Address - Phone:262-370-4349
Practice Address - Fax:262-251-5160
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4332-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39561400Medicaid