Provider Demographics
NPI:1285094227
Name:BARCOMB, CAROLANNE ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLANNE
Middle Name:ELIZABETH
Last Name:BARCOMB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROLANNE
Other - Middle Name:ELIZABETH
Other - Last Name:MAIMONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:933 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-1715
Mailing Address - Country:US
Mailing Address - Phone:607-735-3190
Mailing Address - Fax:
Practice Address - Street 1:933 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-1715
Practice Address - Country:US
Practice Address - Phone:607-735-3190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093388104100000X
NY0944631041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker