Provider Demographics
NPI:1154876936
Name:VAUPEL, BARBARA (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:VAUPEL
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 1:750 VETERANS MEMORIAL HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2943
Mailing Address - Country:US
Mailing Address - Phone:631-925-1003
Mailing Address - Fax:631-754-1642
Practice Address - Street 1:750 VETERANS MEMORIAL HWY STE 202
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2943
Practice Address - Country:US
Practice Address - Phone:631-925-1003
Practice Address - Fax:631-754-1642
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045237-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical