Provider Demographics
NPI:1104027853
Name:HEBERT, BARBARA K (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4564
Mailing Address - Country:US
Mailing Address - Phone:715-833-7111
Mailing Address - Fax:715-833-0454
Practice Address - Street 1:1030 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4564
Practice Address - Country:US
Practice Address - Phone:715-833-7111
Practice Address - Fax:715-833-0454
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39668900Medicaid
WI39668900Medicaid