MEDICARE: MS. BARBARA R RICHERT LCSW

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	R053013-1	NY

General Provider Information

NPI Number	:	1073798229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA R RICHERT LCSW

Provider Business Mailing Address
First Line	:	160 W 87TH ST
Second Line	:	APT 4D
City	:	NEW YORK
State	:	NY
Zip	:	10024-2914
Country	:	US
Telephone Number	:	212-362-0147
Fax Number	:	212-362-1595

Provider Business Practice Location Address
First Line	:	160 W 87TH ST
Second Line	:	APT 4D
City	:	NEW YORK
State	:	NY
Zip	:	10024-2914
Country	:	US
Telephone Number	:	212-362-0147
Fax Number	:	212-362-1595

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

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	01/07/2008

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