Provider Demographics
NPI:1306196589
Name:BARHYDT, ECHI (LCSW-R)
Entity Type:Individual
Prefix:
First Name:ECHI
Middle Name:
Last Name:BARHYDT
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 1:10 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1640
Mailing Address - Country:US
Mailing Address - Phone:518-334-2791
Mailing Address - Fax:
Practice Address - Street 1:10 PINECREST DR
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-1640
Practice Address - Country:US
Practice Address - Phone:518-334-2791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY78480801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY555793Medicaid
NY555793Medicaid