Provider Demographics
NPI:1790898591
Name:DARTHENAY, BARBARA B (LICSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name:DARTHENAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 N LEVERETT RD
Mailing Address - Street 2:
Mailing Address - City:LEVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:01054
Mailing Address - Country:US
Mailing Address - Phone:413-695-8008
Mailing Address - Fax:
Practice Address - Street 1:110 N HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373
Practice Address - Country:US
Practice Address - Phone:413-695-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10314091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1852566Medicaid
MA1852566Medicaid
P21858Medicare ID - Type Unspecified