Provider Demographics
NPI:1518311869
Name:FOLKS, BARBARA MCKENNA (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:MCKENNA
Last Name:FOLKS
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-5803
Mailing Address - Country:US
Mailing Address - Phone:631-949-6009
Mailing Address - Fax:
Practice Address - Street 1:1717 N OCEAN AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2678
Practice Address - Country:US
Practice Address - Phone:631-949-6009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR070377-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical