Becker, Barbara A

Becker, Barbara A is an individual health care provider with primary practice located at 26 Lake Terrace , Lake Ronkonkoma NY 11779. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Becker, Barbara A can be contacted via phone (631) 981-3525.

Contact Information

Primary practice address
26 Lake Terrace Lake Ronkonkoma NY 11779
Fax: (631) 981-3525
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R0402091 New York

Profile Details

NPI number 1356476675
LBN Legal business name Becker, Barbara A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356476675 NPPES
Other Y037655 CHAMPUS TRICARE
Other 067133 CHAMPUS TRICARE
Other P711450 CHAMPUS TRICARE

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