Provider Demographics
NPI:1710153697
Name:PADGETT, BARBARA E (LISW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:PADGETT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 PARK AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6895
Mailing Address - Country:US
Mailing Address - Phone:440-992-8552
Mailing Address - Fax:
Practice Address - Street 1:4200 PARK AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6895
Practice Address - Country:US
Practice Address - Phone:440-992-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10003833104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker