Provider Demographics
NPI:1639402431
Name:SZYMANSKI, BARBARA ORSZOLO (LMSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ORSZOLO
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:O
Other - Last Name:MOCHOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1462 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-1545
Mailing Address - Country:US
Mailing Address - Phone:248-770-9589
Mailing Address - Fax:
Practice Address - Street 1:1462 SPRUCE DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-1545
Practice Address - Country:US
Practice Address - Phone:248-770-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI6801093054104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1883825Medicaid