Provider Demographics
NPI:1013773498
Name:WEISS, BARNETT JOSEPH (LCSW)
Entity type:Individual
Prefix:
First Name:BARNETT
Middle Name:JOSEPH
Last Name:WEISS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 W 11TH ST BSMT APT
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2444
Mailing Address - Country:US
Mailing Address - Phone:917-751-3395
Mailing Address - Fax:
Practice Address - Street 1:295 W 11TH ST BSMT APT
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2444
Practice Address - Country:US
Practice Address - Phone:917-751-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0138521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical