Provider Demographics
NPI:1144359654
Name:BARTH, FRANCINE DIANE (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:DIANE
Last Name:BARTH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 86TH ST APT 15F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3319
Mailing Address - Country:US
Mailing Address - Phone:212-362-7565
Mailing Address - Fax:
Practice Address - Street 1:200 W 86TH ST APT 15F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3319
Practice Address - Country:US
Practice Address - Phone:212-362-7565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR017585-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical