Provider Demographics
NPI:1467536540
Name:BARRETO, ALBERTO CESAR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:CESAR
Last Name:BARRETO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 92ND STREET
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-699-0748
Mailing Address - Fax:718-327-5615
Practice Address - Street 1:5212 92ND ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4643
Practice Address - Country:US
Practice Address - Phone:718-699-0748
Practice Address - Fax:718-327-5615
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR031359-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2055891OtherCIGNA
NY2055891OtherCIGNA
NY132-183Medicare UPIN
NY7374Medicare UPIN
NY740-1908Medicare UPIN