Provider Demographics
NPI:1831239060
Name:HUBER, BERNARD ARTHUR (LCSW)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:ARTHUR
Last Name:HUBER
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 1:256 3RD ST STE 13
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-1231
Mailing Address - Country:US
Mailing Address - Phone:716-282-2724
Mailing Address - Fax:716-285-8198
Practice Address - Street 1:256 3RD ST STE 13
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-1231
Practice Address - Country:US
Practice Address - Phone:716-282-2724
Practice Address - Fax:716-285-8198
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO37678-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical