Provider Demographics
NPI:1225233067
Name:STEVEN BARSKY LCSW PA
Entity Type:Organization
Organization Name:STEVEN BARSKY LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:BARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-513-2820
Mailing Address - Street 1:1821 22ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-3441
Mailing Address - Country:US
Mailing Address - Phone:239-513-2820
Mailing Address - Fax:239-354-2766
Practice Address - Street 1:3341 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4165
Practice Address - Country:US
Practice Address - Phone:239-513-2820
Practice Address - Fax:239-354-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3672AMedicare ID - Type UnspecifiedMEDICARE