Healthcare Provider Details

I. General information

NPI: 1851690101
Provider Name (Legal Business Name): BARBARA CHERYL SIMON LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 03/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 HOLLY LN
PLAINVIEW NY
11803-3212
US

IV. Provider business mailing address

18 HOLLY LN
PLAINVIEW NY
11803-3212
US

V. Phone/Fax

Practice location:
  • Phone: 516-659-1448
  • Fax: 516-349-8375
Mailing address:
  • Phone: 516-659-1448
  • Fax: 516-349-8375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR021833-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: