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NPI Code Detail

MEDICARE: BARBARA CHASE LCSW

MEDICARE: BARBARA CHASE 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
11041C0700XClinical Social WorkerR036496-1NY

General Provider Information

NPI Number : 1609028166
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA CHASE LCSW
Provider Business Mailing Address
First Line : 139 CORNELL ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3633
Country : US
Telephone Number : 845-338-1234
Fax Number : 845-338-6284
Provider Business Practice Location Address
First Line : 139 CORNELL ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3633
Country : US
Telephone Number : 845-338-1234
Fax Number : 845-338-6284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2008
Last Update Date : 04/12/2026

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