Provider Demographics
NPI:1891056859
Name:GOY, BARBARA (LCSW, CADC, MISAII)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GOY
Suffix:
Gender:F
Credentials:LCSW, CADC, MISAII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 MAPLE ST
Mailing Address - Street 2:APT B
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-5217
Mailing Address - Country:US
Mailing Address - Phone:630-989-6542
Mailing Address - Fax:
Practice Address - Street 1:143 FIRST ST
Practice Address - Street 2:STE 202
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3101
Practice Address - Country:US
Practice Address - Phone:630-989-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490128121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical