Provider Demographics
NPI:1033933825
Name:BUNKER-PFINGST, BARBARA ELLEN (LMSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELLEN
Last Name:BUNKER-PFINGST
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:PFINGST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:12 LAKELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-1708
Mailing Address - Country:US
Mailing Address - Phone:845-641-3929
Mailing Address - Fax:
Practice Address - Street 1:719 W NYACK RD STE 43
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2241
Practice Address - Country:US
Practice Address - Phone:845-328-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07216200104100000X
NY125777104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker