Provider Demographics
NPI:1437523081
Name:BARRYDNAROFF LICENSED CLINICAL SOCIAL WORKER PC
Entity Type:Organization
Organization Name:BARRYDNAROFF LICENSED CLINICAL SOCIAL WORKER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:NAROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-793-9453
Mailing Address - Street 1:7238 113TH ST
Mailing Address - Street 2:5H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4660
Mailing Address - Country:US
Mailing Address - Phone:718-793-9453
Mailing Address - Fax:
Practice Address - Street 1:7238 113TH ST
Practice Address - Street 2:5H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4660
Practice Address - Country:US
Practice Address - Phone:718-793-9453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0321261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty