Provider Demographics
NPI:1134133820
Name:BARATTO, NORA FRANCIS (LCSW-R)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:FRANCIS
Last Name:BARATTO
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 1:21 TORONADO DR
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-1959
Mailing Address - Country:US
Mailing Address - Phone:518-786-6530
Mailing Address - Fax:
Practice Address - Street 1:315 S MANNING BLVD
Practice Address - Street 2:CASE MANAGEMENT DEPT.
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1707
Practice Address - Country:US
Practice Address - Phone:518-525-1364
Practice Address - Fax:518-525-1075
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0550291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000405605001OtherBLUE SHEILD
NY549452OtherVALUE OPTIONS
NY783865OtherMVP
NY000405605001OtherBLUE SHEILD