Provider Demographics
NPI:1306964846
Name:WASSERMAN, BARBARA BAATZ (MSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BAATZ
Last Name:WASSERMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4943 DEER HAVEN LANE
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:WA
Mailing Address - Zip Code:98232
Mailing Address - Country:US
Mailing Address - Phone:360-766-4229
Mailing Address - Fax:
Practice Address - Street 1:17400 RESERVATION ROAD
Practice Address - Street 2:
Practice Address - City:LA CONNER
Practice Address - State:WA
Practice Address - Zip Code:98257
Practice Address - Country:US
Practice Address - Phone:360-466-7208
Practice Address - Fax:360-466-5528
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00004435104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker