Provider Demographics
NPI:1952468456
Name:BARRETT, NANCY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 W 181ST ST
Mailing Address - Street 2:APT. 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-4468
Mailing Address - Country:US
Mailing Address - Phone:914-737-7338
Mailing Address - Fax:914-737-1050
Practice Address - Street 1:875 W 181ST ST
Practice Address - Street 2:APT. 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4468
Practice Address - Country:US
Practice Address - Phone:914-737-7338
Practice Address - Fax:914-737-1050
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0551071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY219936OtherHEALTHNET
NY140055107NY01OtherANTHEM
NYNG6221Medicare PIN