Provider Demographics
NPI:1609241785
Name:BAROVSKY, RHONDA (LCSW, PSYD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:BAROVSKY
Suffix:
Gender:F
Credentials:LCSW, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S MAIN ST STE 225
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5382
Mailing Address - Country:US
Mailing Address - Phone:925-944-1676
Mailing Address - Fax:
Practice Address - Street 1:1600 S MAIN ST STE 225
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5382
Practice Address - Country:US
Practice Address - Phone:925-944-1676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TF0200X
CALCS129021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical