Provider Demographics
NPI:1649203340
Name:BARSKY, SUSAN SAAZ (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SAAZ
Last Name:BARSKY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:S
Other - Last Name:BARSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-0700
Mailing Address - Country:US
Mailing Address - Phone:978-772-7895
Mailing Address - Fax:978-772-4176
Practice Address - Street 1:268 PRINCE STREET
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465
Practice Address - Country:US
Practice Address - Phone:617-965-1338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA102419104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP01630OtherBLUE CROSS BLUE SHIELD
MAP01630OtherBLUE CROSS BLUE SHIELD