Provider Demographics
NPI:1528134376
Name:O'BRIEN, BARBARA GUSTAFSON (MSSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:GUSTAFSON
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 50TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6130
Mailing Address - Country:US
Mailing Address - Phone:206-325-4852
Mailing Address - Fax:206-524-1998
Practice Address - Street 1:4510 THACKERAY PL NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4842
Practice Address - Country:US
Practice Address - Phone:206-963-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000060351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical