Provider Demographics
NPI:1255452504
Name:MARKOWITZ, BARBARA B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:B
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:B
Other - Last Name:BRODY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3391 SEAWANE DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5545
Mailing Address - Country:US
Mailing Address - Phone:516-377-4054
Mailing Address - Fax:516-377-4054
Practice Address - Street 1:124 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3434
Practice Address - Country:US
Practice Address - Phone:516-377-4054
Practice Address - Fax:516-377-4054
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0195971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7480975OtherGHI
NYP2364003OtherOXFORD
NYN70491Medicare ID - Type Unspecified