Provider Demographics
NPI:1295510766
Name:BAR, NOAH (LMSW)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:BAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NOA
Other - Middle Name:
Other - Last Name:BAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:50 PRINCE ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3341
Mailing Address - Country:US
Mailing Address - Phone:404-723-3893
Mailing Address - Fax:
Practice Address - Street 1:49 W 24TH ST STE 512
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3206
Practice Address - Country:US
Practice Address - Phone:917-710-5075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120333104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker