Provider Demographics
NPI:1851509525
Name:TAWIL, BARBARA J, (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J,
Last Name:TAWIL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 BEACH 134TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1439
Mailing Address - Country:US
Mailing Address - Phone:718-634-2254
Mailing Address - Fax:
Practice Address - Street 1:235 BEACH 134TH ST
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1439
Practice Address - Country:US
Practice Address - Phone:718-634-2254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070607-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker