Provider Demographics
NPI:1053355842
Name:BRANDS, BARBARA (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BRANDS
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 1:9561 CHALMERS ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-8589
Mailing Address - Country:US
Mailing Address - Phone:317-496-7833
Mailing Address - Fax:
Practice Address - Street 1:9561 CHALMERS ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-8589
Practice Address - Country:US
Practice Address - Phone:317-496-7833
Practice Address - Fax:317-674-0060
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003918A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000326345OtherANTHEM PIN NUMBER