Provider Demographics
NPI:1447384961
Name:STAYSKAL, BARBARA KAROL (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KAROL
Last Name:STAYSKAL
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MALIBU RD
Mailing Address - Street 2:
Mailing Address - City:LAVALLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:08735-1817
Mailing Address - Country:US
Mailing Address - Phone:732-691-8898
Mailing Address - Fax:
Practice Address - Street 1:13 MALIBU RD
Practice Address - Street 2:
Practice Address - City:LAVALLETTE
Practice Address - State:NJ
Practice Address - Zip Code:08735-1817
Practice Address - Country:US
Practice Address - Phone:732-691-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003631001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical