1548595424 NPI number — MS. LYDIA BARKER LMSW

Table of content: MS. LYDIA BARKER LMSW (NPI 1548595424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548595424 NPI number — MS. LYDIA BARKER LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARKER
Provider First Name:
LYDIA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRUSZCZYNSKI
Provider Other First Name:
LYDIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1548595424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6554 AUSTIN ST
Provider Second Line Business Mailing Address:
APARTMENT 4E
Provider Business Mailing Address City Name:
REGO PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11374-4615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-263-2818
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7150 PARSONS BLVD
Provider Second Line Business Practice Location Address:
THE CHILD CENTER OF NEW YORK
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11365-4131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-591-6750
Provider Business Practice Location Address Fax Number:
718-591-5267
Provider Enumeration Date:
10/09/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  082665 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)