Provider Demographics
NPI:1376619056
Name:HOLLMAN, BARBARA C (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:HOLLMAN
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 1:101 CEDAR LN
Mailing Address - Street 2:STE 201
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4417
Mailing Address - Country:US
Mailing Address - Phone:201-567-9042
Mailing Address - Fax:201-567-3190
Practice Address - Street 1:101 CEDAR LN
Practice Address - Street 2:STE 201
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4417
Practice Address - Country:US
Practice Address - Phone:201-567-9042
Practice Address - Fax:201-567-3190
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC014409001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ027316Medicare ID - Type UnspecifiedNJ MEDICARE