Provider Demographics
NPI:1376894394
Name:BAKER, BARBARA LEWIS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LEWIS
Last Name:BAKER
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 1:3 WILLOW BANK CT
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2909
Mailing Address - Country:US
Mailing Address - Phone:201-825-5827
Mailing Address - Fax:
Practice Address - Street 1:339 NORTH BROADWAY
Practice Address - Street 2:THE SUMMIT SCHOOL AND CHILDREN'S RESIDENCE CENTER
Practice Address - City:UPPER NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:845-358-7772
Practice Address - Fax:845-358-2487
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07659-11041C0700X
NJ44SC051817001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical