Provider Demographics
NPI:1194756890
Name:OSBORN, BARBARA A (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:OSBORN
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:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47902-0303
Mailing Address - Country:US
Mailing Address - Phone:765-404-4987
Mailing Address - Fax:765-807-3318
Practice Address - Street 1:15 EXECUTIVE DR
Practice Address - Street 2:STE 3
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4868
Practice Address - Country:US
Practice Address - Phone:765-404-4987
Practice Address - Fax:765-807-3318
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003814A1041C0700X
DCLC30007841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical