Doctor Name: | MR. ADAM T BARTA |
NPI Number: | 1245331958 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 071478 |
Business Practice Address: | 79 St Basils Rd Suite 6 Garrison, NY - 105244127 |
Business Phone Number: | 8453355617 |
Business Fax Number: | 8453355616 |
Mailing Address: | Po Box 155, GARRISON |
State: | NY |
Postal Code: | 105240155 |
Phone Number: | 8453355617 |
Fax Number: | 8453355616 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 071478 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |