Provider Demographics
NPI:1689969842
Name:GAU, BARBARA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:GAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 FOXBORO CT
Mailing Address - Street 2:STE 103
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7656
Mailing Address - Country:US
Mailing Address - Phone:919-967-2632
Mailing Address - Fax:
Practice Address - Street 1:3604 SHANNON RD
Practice Address - Street 2:STE 200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6343
Practice Address - Country:US
Practice Address - Phone:919-403-2122
Practice Address - Fax:919-401-4993
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0002531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical