Provider Demographics
NPI:1750525093
Name:WALD, BARBARA C (MSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:C
Last Name:WALD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 89TH ST
Mailing Address - Street 2:6F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5551
Mailing Address - Country:US
Mailing Address - Phone:017-538-2228
Mailing Address - Fax:718-921-1605
Practice Address - Street 1:40 89TH ST
Practice Address - Street 2:6F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5551
Practice Address - Country:US
Practice Address - Phone:017-538-2228
Practice Address - Fax:718-921-1605
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021912-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical