Provider Demographics
NPI:1134242183
Name:KAPLAN JACOBSBERG, BARBARA (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:KAPLAN JACOBSBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:KAPLAN
Other - Last Name:JACOBSBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:220 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7660
Mailing Address - Country:US
Mailing Address - Phone:212-371-4498
Mailing Address - Fax:212-371-5159
Practice Address - Street 1:220 E 63RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7660
Practice Address - Country:US
Practice Address - Phone:212-371-4498
Practice Address - Fax:212-371-5159
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042236-11041C0700X
NY282050-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health