Doctor Name: | MS. BARBARA A LADD |
NPI Number: | 1003053547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.014925 |
Business Practice Address: | 900 Pyott Rd Suite 101 Crystal Lake, IL - 600148716 |
Business Phone Number: | 8154448604 |
Business Fax Number: | 8154448624 |
Mailing Address: | 900 Pyott Rd, Suite 101 CRYSTAL LAKE |
State: | IL |
Postal Code: | 600148716 |
Phone Number: | 8154448604 |
Fax Number: | 8154448624 |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.014925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |