Provider Demographics
NPI:1548595424
Name:BARKER, LYDIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:LYDIA
Other - Middle Name:
Other - Last Name:GRUSZCZYNSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:6554 AUSTIN ST
Mailing Address - Street 2:APARTMENT 4E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4615
Mailing Address - Country:US
Mailing Address - Phone:347-263-2818
Mailing Address - Fax:
Practice Address - Street 1:7150 PARSONS BLVD
Practice Address - Street 2:THE CHILD CENTER OF NEW YORK
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-4131
Practice Address - Country:US
Practice Address - Phone:718-591-6750
Practice Address - Fax:718-591-5267
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0826651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical