Provider Demographics
NPI:1972012078
Name:WEST, BARBARA ANN (LSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:WEST
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 1:8135 MT. VERNON RD.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43071
Mailing Address - Country:US
Mailing Address - Phone:740-345-5437
Mailing Address - Fax:888-206-4492
Practice Address - Street 1:8135 MT. VERNON RD.
Practice Address - Street 2:
Practice Address - City:ST. LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:43071
Practice Address - Country:US
Practice Address - Phone:740-345-5437
Practice Address - Fax:888-206-4492
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1600598104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker