Provider Demographics
NPI:1881007235
Name:BARBA, JANETH (LSW)
Entity Type:Individual
Prefix:
First Name:JANETH
Middle Name:
Last Name:BARBA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 22ND ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4854
Mailing Address - Country:US
Mailing Address - Phone:630-424-9365
Mailing Address - Fax:
Practice Address - Street 1:55 W 22ND ST
Practice Address - Street 2:SUITE 305
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4854
Practice Address - Country:US
Practice Address - Phone:630-424-9365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150014790104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker