Provider Demographics
NPI:1083763270
Name:KASS, BARBARA (LCSW R#030189-1)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:KASS
Suffix:
Gender:F
Credentials:LCSW R#030189-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1703
Mailing Address - Country:US
Mailing Address - Phone:718-259-2366
Mailing Address - Fax:
Practice Address - Street 1:695 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1703
Practice Address - Country:US
Practice Address - Phone:718-259-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW R# 030189-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical