Provider Demographics
NPI:1851973515
Name:BARNHART, AUDREY (CSW)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:BARNHART
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 S 3RD ST FRNT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-2601
Mailing Address - Country:US
Mailing Address - Phone:502-233-3030
Mailing Address - Fax:
Practice Address - Street 1:4911 MIDDLESEX DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-6452
Practice Address - Country:US
Practice Address - Phone:502-939-3935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2554881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical