Healthcare Provider Details

I. General information

NPI: 1245900463
Provider Name (Legal Business Name): NICOLE BARSKY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 FORBES RD STE 300
BRAINTREE MA
02184-2714
US

IV. Provider business mailing address

90 CANAL ST STE 4
BOSTON MA
02114-2022
US

V. Phone/Fax

Practice location:
  • Phone: 617-519-6517
  • Fax:
Mailing address:
  • Phone: 888-922-2843
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: