Provider Demographics
NPI:1760594972
Name:BARASH, DENA R (LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:DENA
Middle Name:R
Last Name:BARASH
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11210 HARBOUR SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1248
Mailing Address - Country:US
Mailing Address - Phone:561-488-4414
Mailing Address - Fax:561-852-2107
Practice Address - Street 1:7100 W CAMINO REAL
Practice Address - Street 2:SUITE 401
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-488-4414
Practice Address - Fax:561-852-2107
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14331041C0700X
FL879106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1444XMedicare ID - Type Unspecified