Provider Demographics
NPI:1457043283
Name:BARNARD, JOSEPHINE L (AS, CASAC T)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:L
Last Name:BARNARD
Suffix:
Gender:F
Credentials:AS, CASAC T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 JAY ST BLDG J
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-1153
Mailing Address - Country:US
Mailing Address - Phone:585-328-8340
Mailing Address - Fax:585-260-4366
Practice Address - Street 1:1099 JAY ST BLDG J
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-1153
Practice Address - Country:US
Practice Address - Phone:585-328-8340
Practice Address - Fax:585-260-4366
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3844101Y00000X
NY32488101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor