Provider Demographics
NPI:1407079932
Name:BARKER-FREY, JENNIFER E (LMSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:BARKER-FREY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 WILLOUGHBY AVE
Mailing Address - Street 2:2P
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1447
Mailing Address - Country:US
Mailing Address - Phone:347-406-7132
Mailing Address - Fax:
Practice Address - Street 1:514 49TH ST
Practice Address - Street 2:SUNSET TERRACE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2010
Practice Address - Country:US
Practice Address - Phone:718-431-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20114101041C0700X
NY049959-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical