Provider Demographics
NPI:1427936715
Name:STAPHOLZ, BARBARA J (LCSW-R, MBA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:STAPHOLZ
Suffix:
Gender:F
Credentials:LCSW-R, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6272
Mailing Address - Country:US
Mailing Address - Phone:585-415-4798
Mailing Address - Fax:
Practice Address - Street 1:118 KEITH DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6272
Practice Address - Country:US
Practice Address - Phone:585-415-4798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050-5371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical