Provider Demographics
NPI:1609374305
Name:BARBER, PATRICIA HILLARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:HILLARIE
Last Name:BARBER
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 1:35 VICTORY HWY
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-1006
Mailing Address - Country:US
Mailing Address - Phone:607-654-2966
Mailing Address - Fax:
Practice Address - Street 1:35 VICTORY HWY
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-1006
Practice Address - Country:US
Practice Address - Phone:607-654-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086514-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical