Provider Demographics
NPI:1306956040
Name:MONACO, BARBARA L (LCSW-R)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:MONACO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2328
Mailing Address - Country:US
Mailing Address - Phone:845-229-9765
Mailing Address - Fax:845-229-0314
Practice Address - Street 1:24 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2408
Practice Address - Country:US
Practice Address - Phone:845-454-4441
Practice Address - Fax:845-229-0314
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0487951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY260340OtherEMPIRE/VALUE OPTIONS/GHI
NYP3655887OtherOXFORD HEALTH PLAN
NY781295OtherMVP HEALTH PLAN
NYP3655887OtherOXFORD HEALTH PLAN