Provider Demographics
NPI:1508963109
Name:BARATTA, MARIA (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:BARATTA
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-787-9800
Mailing Address - Fax:212-787-9800
Practice Address - Street 1:300 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-787-9800
Practice Address - Fax:212-787-9800
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0297051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01440211Medicaid
NY01440211Medicaid
N57251Medicare UPIN