Provider Demographics
NPI:1053490409
Name:GRAFF, BARBARA SUE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUE
Last Name:GRAFF
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 1:15 JOYS LN
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3705
Mailing Address - Country:US
Mailing Address - Phone:845-331-5064
Mailing Address - Fax:845-331-0492
Practice Address - Street 1:15 JOYS LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3705
Practice Address - Country:US
Practice Address - Phone:845-331-5064
Practice Address - Fax:845-331-0492
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR011992-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN49782Medicare ID - Type Unspecified