Healthcare Provider Details

I. General information

NPI: 1356356786
Provider Name (Legal Business Name): BARBARA ANN CHRISTIAN MASTERS DEGREE, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 DIXIEWAY NORTH SUITE 200
SOUTH BEND IN
46637-3393
US

IV. Provider business mailing address

227 DIXIEWAY NORTH SUITE 200
SOUTH BEND IN
46637-3393
US

V. Phone/Fax

Practice location:
  • Phone: 574-272-7700
  • Fax: 574-272-7800
Mailing address:
  • Phone: 574-272-7700
  • Fax: 574-272-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34002565A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35000335A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: