Provider Demographics
NPI:1356464408
Name:SIME, BARBARA JANE
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JANE
Last Name:SIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2813
Mailing Address - Country:US
Mailing Address - Phone:973-571-0993
Mailing Address - Fax:973-571-0995
Practice Address - Street 1:8 HILLSIDE AVE STE 108
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2129
Practice Address - Country:US
Practice Address - Phone:973-900-1539
Practice Address - Fax:973-571-0994
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047505001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical