Provider Demographics
NPI:1477846996
Name:MARTIN, BARBRA S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBRA
Middle Name:S
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 TERHUNE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3425
Mailing Address - Country:US
Mailing Address - Phone:609-924-2343
Mailing Address - Fax:
Practice Address - Street 1:39 TAMARACK CIR
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2019
Practice Address - Country:US
Practice Address - Phone:901-228-4321
Practice Address - Fax:609-924-2343
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013666001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical