Provider Demographics
NPI:1447477781
Name:ROSENFARB, BARBARA FORD (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:FORD
Last Name:ROSENFARB
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:KUTRUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1827 ATLANTA AVE STE D3
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7418
Mailing Address - Country:US
Mailing Address - Phone:951-955-8000
Mailing Address - Fax:
Practice Address - Street 1:1827 ATLANTA AVE STE D3
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7418
Practice Address - Country:US
Practice Address - Phone:951-955-8000
Practice Address - Fax:951-955-8010
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA285901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical