Provider Demographics
NPI:1427356856
Name:THOMPSON, BARBARA (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-4027
Mailing Address - Country:US
Mailing Address - Phone:917-204-7852
Mailing Address - Fax:
Practice Address - Street 1:110 E 88TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1103
Practice Address - Country:US
Practice Address - Phone:646-369-2836
Practice Address - Fax:877-838-1863
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0695351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical