Provider Demographics
NPI:1912669870
Name:BARBEE, TARRANCE ROBERT JOHN (LCSW)
Entity Type:Individual
Prefix:
First Name:TARRANCE
Middle Name:ROBERT JOHN
Last Name:BARBEE
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 1:71 STRAWBERRY HILL AVE APT 1104
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2727
Mailing Address - Country:US
Mailing Address - Phone:646-430-3288
Mailing Address - Fax:
Practice Address - Street 1:130 W KINGSBRIDGE RD RM 8A-28
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3904
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:718-741-4672
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057413001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical