Provider Demographics
NPI:1447333117
Name:BATTLE, BARBARA ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNE
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 EDSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2011
Mailing Address - Country:US
Mailing Address - Phone:646-391-1387
Mailing Address - Fax:
Practice Address - Street 1:3594 EAST TREMONT AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2032
Practice Address - Country:US
Practice Address - Phone:718-792-4178
Practice Address - Fax:718-792-2496
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0486341104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
A1808OtherLOCAL 1199