Provider Demographics
NPI:1154458495
Name:BARMAK, MICHAEL CURTIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CURTIS
Last Name:BARMAK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 LINCOLN AVE E
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-6100
Mailing Address - Country:US
Mailing Address - Phone:908-276-8191
Mailing Address - Fax:
Practice Address - Street 1:347 LINCOLN AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-6100
Practice Address - Country:US
Practice Address - Phone:908-276-8191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052057001041C0700X
NY0699541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical