Provider Demographics
NPI:1225202153
Name:POSILLICO, BARBARA K (LCSW)
Entity Type:Individual
Prefix:PROF
First Name:BARBARA
Middle Name:K
Last Name:POSILLICO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MARIE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-1975
Mailing Address - Country:US
Mailing Address - Phone:631-421-6812
Mailing Address - Fax:
Practice Address - Street 1:37 MARIE DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-1975
Practice Address - Country:US
Practice Address - Phone:631-421-6812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0521761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical