Provider Demographics
NPI:1588785281
Name:BARBARA METCALF, LISW
Entity type:Organization
Organization Name:BARBARA METCALF, LISW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:419-866-7700
Mailing Address - Street 1:7429 INTERNATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-8623
Mailing Address - Country:US
Mailing Address - Phone:419-866-7700
Mailing Address - Fax:419-866-1695
Practice Address - Street 1:7429 INTERNATIONAL DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8623
Practice Address - Country:US
Practice Address - Phone:419-866-7700
Practice Address - Fax:419-866-1695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0003831104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty