Provider Demographics
NPI:1952826950
Name:BARON, TZIPORAH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TZIPORAH
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:TZIPORAH
Other - Middle Name:
Other - Last Name:EISENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 W 86TH ST APT 15B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3665
Mailing Address - Country:US
Mailing Address - Phone:646-678-0463
Mailing Address - Fax:
Practice Address - Street 1:445 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2606
Practice Address - Country:US
Practice Address - Phone:212-307-3142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2024-07-15
Deactivation Date:2020-08-10
Deactivation Code:
Reactivation Date:2020-08-14
Provider Licenses
StateLicense IDTaxonomies
NY097229104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY913804516OtherNYS DRIVER LICENSE