Provider Demographics
NPI:1831102433
Name:ZWICK, BARBARA B (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:B
Last Name:ZWICK
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-4929
Mailing Address - Country:US
Mailing Address - Phone:203-454-2265
Mailing Address - Fax:203-256-0930
Practice Address - Street 1:29 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3749
Practice Address - Country:US
Practice Address - Phone:203-454-2265
Practice Address - Fax:203-256-0930
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0002621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical