Provider Demographics
NPI:1821115197
Name:ESPIE-BARRY, ROBERTA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:
Last Name:ESPIE-BARRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBERTA
Other - Middle Name:
Other - Last Name:ESPIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:225 E 47TH ST
Mailing Address - Street 2:1-G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2129
Mailing Address - Country:US
Mailing Address - Phone:212-865-1796
Mailing Address - Fax:212-865-2895
Practice Address - Street 1:225 E 47TH ST
Practice Address - Street 2:1-G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2129
Practice Address - Country:US
Practice Address - Phone:212-865-1796
Practice Address - Fax:212-865-2895
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR021437-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7402845OtherGHI
NY7402845OtherGHI