Provider Demographics
NPI:1710258769
Name:BARBU, LAVINIA E (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LAVINIA
Middle Name:E
Last Name:BARBU
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S BROADWAY UNIT A11
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5616
Mailing Address - Country:US
Mailing Address - Phone:646-242-5412
Mailing Address - Fax:
Practice Address - Street 1:130 W 97TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6450
Practice Address - Country:US
Practice Address - Phone:212-665-1860
Practice Address - Fax:212-665-1879
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05694900104100000X
NY0834141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1629127725OtherNPI
NY00244257Medicaid