MEDICARE: MS. BARBARA THOLFSEN L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R033807-1	NY

General Provider Information

NPI Number	:	1629107081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA THOLFSEN L.C.S.W.

Provider Business Mailing Address
First Line	:	218 CLEVELAND DR
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2416
Country	:	US
Telephone Number	:	914-271-1276
Fax Number	:	914-271-1276

Provider Business Practice Location Address
First Line	:	218 CLEVELAND DR
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2416
Country	:	US
Telephone Number	:	914-271-1276
Fax Number	:	914-271-1276

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	07/08/2007

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