Provider Demographics
NPI:1649586389
Name:BARAHONA, DENAYE (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DENAYE
Middle Name:
Last Name:BARAHONA
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 E PUTNAM AVE STE 25
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2724
Mailing Address - Country:US
Mailing Address - Phone:203-200-0758
Mailing Address - Fax:
Practice Address - Street 1:132 E PUTNAM AVE STE 25
Practice Address - Street 2:
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2724
Practice Address - Country:US
Practice Address - Phone:203-200-0758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT122851041C0700X
IL149.0142881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical