Provider Demographics
NPI:1497963987
Name:HOWELL, BARBARA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:HOWELL
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 1:94 CONKLIN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2245
Mailing Address - Country:US
Mailing Address - Phone:201-913-4544
Mailing Address - Fax:201-497-6319
Practice Address - Street 1:94 CONKLIN AVENUE
Practice Address - Street 2:APT. 1
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642
Practice Address - Country:US
Practice Address - Phone:201-913-4544
Practice Address - Fax:201-497-6319
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045063001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS37992Medicare UPIN