Provider Demographics
NPI:1649420035
Name:NESMITH-BARKER, DRUCILLA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DRUCILLA
Middle Name:
Last Name:NESMITH-BARKER
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 1:628 BEVERLY ROAD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218
Mailing Address - Country:US
Mailing Address - Phone:646-883-6944
Mailing Address - Fax:718-437-5572
Practice Address - Street 1:628 BEVERLY ROAD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208
Practice Address - Country:US
Practice Address - Phone:718-437-5570
Practice Address - Fax:718-437-5572
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2016-08-16
Deactivation Date:2014-08-20
Deactivation Code:
Reactivation Date:2015-07-01
Provider Licenses
StateLicense IDTaxonomies
NY080363-11041C0700X
NJ44SC055465001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical