Provider Demographics
NPI:1982026977
Name:SOBEL, BARBARA J (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SOBEL
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 1:11220 72ND DR
Mailing Address - Street 2:APT A65
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5631
Mailing Address - Country:US
Mailing Address - Phone:347-494-4498
Mailing Address - Fax:
Practice Address - Street 1:11220 72ND DR
Practice Address - Street 2:APT A65
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5631
Practice Address - Country:US
Practice Address - Phone:347-494-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0560421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical