Provider Demographics
NPI:1447449772
Name:MITCHELL, BARBARA LOUISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LOUISE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:MITCHELL
Other - Last Name:KOLENDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:51 EAST 42 STREET
Mailing Address - Street 2:SUITE 407
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-867-5507
Mailing Address - Fax:
Practice Address - Street 1:51 EAST 42 STREET
Practice Address - Street 2:SUITE 407
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-867-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 106H00000X
NYPR01833311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist