Provider Demographics
NPI:1447284401
Name:BARIAN, JOANNE LYNN (MSW, LCSW, SAC-IT)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:LYNN
Last Name:BARIAN
Suffix:
Gender:F
Credentials:MSW, LCSW, SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 S 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2318
Mailing Address - Country:US
Mailing Address - Phone:414-412-3657
Mailing Address - Fax:414-604-2747
Practice Address - Street 1:2448 S 93RD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-2318
Practice Address - Country:US
Practice Address - Phone:414-412-3657
Practice Address - Fax:414-604-2747
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI68801231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI161641497Medicare UPIN