Provider Demographics
NPI:1639376072
Name:BARBAROTTO, MADELINE FERRARO (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:FERRARO
Last Name:BARBAROTTO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CARTO CIR
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5502
Mailing Address - Country:US
Mailing Address - Phone:516-993-3142
Mailing Address - Fax:631-242-4962
Practice Address - Street 1:12 CARTO CIR
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-5502
Practice Address - Country:US
Practice Address - Phone:516-993-3142
Practice Address - Fax:631-242-4962
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004837-1101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health