Healthcare Provider Details

I. General information

NPI: 1891572186
Provider Name (Legal Business Name): NATASHA BARCLAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 DIXWELL AVE
HAMDEN CT
06518-3527
US

IV. Provider business mailing address

132 SKEET CLUB RD
DURHAM CT
06422-1009
US

V. Phone/Fax

Practice location:
  • Phone: 203-400-1884
  • Fax: 203-651-1462
Mailing address:
  • Phone: 508-776-0742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14052
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: