Provider Demographics
NPI:1548457948
Name:BARBRE, JILL KIRBY (MSED, LCSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:KIRBY
Last Name:BARBRE
Suffix:
Gender:F
Credentials:MSED, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 CENTRAL PARK W
Mailing Address - Street 2:OFFICE #2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3008
Mailing Address - Country:US
Mailing Address - Phone:212-579-6405
Mailing Address - Fax:
Practice Address - Street 1:319 W 100TH ST
Practice Address - Street 2:APT. 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5355
Practice Address - Country:US
Practice Address - Phone:212-865-0435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0454471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical