Provider Demographics
NPI:1083763270
Name:KASS, BARBARA (LCSW R#030184-01)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:KASS
Suffix:
Gender:F
Credentials:LCSW R#030184-01
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S HARBOUR ISLAND BLVD APT 2406
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5718
Mailing Address - Country:US
Mailing Address - Phone:917-406-3627
Mailing Address - Fax:
Practice Address - Street 1:1000 S HARBOUR ISLAND BLVD APT 2406
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5718
Practice Address - Country:US
Practice Address - Phone:917-406-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0301841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical