Provider Demographics
NPI:1821147034
Name:MANGES, BARBARA (LISW, DCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MANGES
Suffix:
Gender:F
Credentials:LISW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 5TH ST
Mailing Address - Street 2:19TH FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4152
Mailing Address - Country:US
Mailing Address - Phone:513-762-7604
Mailing Address - Fax:513-762-7605
Practice Address - Street 1:201 E 5TH ST
Practice Address - Street 2:19TH FLOOR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-4152
Practice Address - Country:US
Practice Address - Phone:513-762-7604
Practice Address - Fax:513-762-7605
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00038871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH165640OtherVALUE OPTIONS
OH165640OtherVALUE OPTIONS
OHH079041Medicare PIN