Provider Demographics
NPI:1043401144
Name:BARBERA, MEGAN (LCSW-R)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BARBERA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6383 MILL ST UNIT 876
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-7554
Mailing Address - Country:US
Mailing Address - Phone:845-233-1409
Mailing Address - Fax:845-698-0387
Practice Address - Street 1:26450 MONTGOMERY STREET
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-233-1409
Practice Address - Fax:845-698-0387
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730754741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical