Healthcare Provider Details
I. General information
NPI: 1346897741
Provider Name (Legal Business Name): MICHELLE LOUISE BARBIAN MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/20/2019
Last Update Date: 11/26/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5050 MADISON RD
CINCINNATI OH
45227-1491
US
IV. Provider business mailing address
8 BAYWOOD CT
ALEXANDRIA KY
41001-4305
US
V. Phone/Fax
- Phone: 513-272-2800
- Fax: 513-272-2807
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | S1101671 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | I.2204021 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: