1861674319 NPI number — MS. BARBARA ANN LIVINGSTON LICSW

Table of content: MS. BARBARA ANN LIVINGSTON LICSW (NPI 1861674319)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861674319 NPI number — MS. BARBARA ANN LIVINGSTON LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIVINGSTON
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GREENWOOD
Provider Other First Name:
BARBARA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861674319
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1061 PLEASANT STREET
Provider Second Line Business Mailing Address:
NEW BEDFORD AND CHILD AND FAMILY
Provider Business Mailing Address City Name:
NEW BEDFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-996-8572
Provider Business Mailing Address Fax Number:
508-001-8618

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1061 PLEASANT STREET
Provider Second Line Business Practice Location Address:
NEW BEDFORD AND CHILD AND FAMILY
Provider Business Practice Location Address City Name:
NEW BEDFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-996-3154
Provider Business Practice Location Address Fax Number:
508-996-8082
Provider Enumeration Date:
11/27/2007

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: 104100000X , with the licence number:  1016201 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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