Provider Demographics
NPI:1003702754
Name:REBECCA BARAN, LCSW PLLC
Entity type:Organization
Organization Name:REBECCA BARAN, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-597-9985
Mailing Address - Street 1:141 BELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1838
Mailing Address - Country:US
Mailing Address - Phone:716-597-9985
Mailing Address - Fax:716-597-9985
Practice Address - Street 1:141 BELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14224-1838
Practice Address - Country:US
Practice Address - Phone:716-597-9985
Practice Address - Fax:716-597-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)