Provider Demographics
NPI:1356574222
Name:SPAULDING, BARBARA W (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:W
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22580 CHESHIRE CT
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7210
Mailing Address - Country:US
Mailing Address - Phone:847-421-0342
Mailing Address - Fax:
Practice Address - Street 1:22580 CHESHIRE CT
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:IL
Practice Address - Zip Code:60010-7210
Practice Address - Country:US
Practice Address - Phone:847-421-0342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0082421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical