1972639441 NPI number — MRS. BARBARA A BAYER MSW DCSW ACSW LCSW

Table of content: MRS. BARBARA A BAYER MSW DCSW ACSW LCSW (NPI 1972639441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972639441 NPI number — MRS. BARBARA A BAYER MSW DCSW ACSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAYER
Provider First Name:
BARBARA
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW DCSW ACSW LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEBB
Provider Other First Name:
BARBARA
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW DCSW ACSW LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972639441
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13528 MARISSA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOMER GLEN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-301-5408
Provider Business Mailing Address Fax Number:
708-301-5408

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13528 MARISSA CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOMER GLEN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-301-5408
Provider Business Practice Location Address Fax Number:
708-301-5408
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0009927180 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 00960 . This is a "AM BOARD OF EXAMINERS CSW" identifier . This identifiers is of the category "OTHER".




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