Provider Demographics
NPI:1023343886
Name:CYNTHIA M BARTE LICSW, LCDP, LLC
Entity type:Organization
Organization Name:CYNTHIA M BARTE LICSW, LCDP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO PRACTIONIER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARTE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LCDP
Authorized Official - Phone:401-965-6699
Mailing Address - Street 1:100 LAFAYETTE ST
Mailing Address - Street 2:SUITE206
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6008
Mailing Address - Country:US
Mailing Address - Phone:401-965-6699
Mailing Address - Fax:401-568-9050
Practice Address - Street 1:100 LAFAYETTE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6008
Practice Address - Country:US
Practice Address - Phone:401-965-6699
Practice Address - Fax:401-568-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1083620OtherBEACON HEALTH
RICL34200Medicaid
RI410128OtherBLUE CHIP
11484211OtherCAQH
RI297365198OtherUNITED HEALTH
1598780793OtherINDIVIDUAL NPI
RI30092-HOtherBLUE CROSS BLUE SHIELD
RICL34200Medicaid