Provider Demographics
NPI:1841412277
Name:BARNARD, GLEN HARRIS (LMSW)
Entity Type:Individual
Prefix:MR
First Name:GLEN
Middle Name:HARRIS
Last Name:BARNARD
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 8TH AVE
Mailing Address - Street 2:#16G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4838
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:355 8TH AVE
Practice Address - Street 2:#16G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4838
Practice Address - Country:US
Practice Address - Phone:917-846-4704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072822-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker