Provider Demographics
NPI:1487722161
Name:BARBANEL, LINDA GAIL (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:GAIL
Last Name:BARBANEL
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 1:205 EAST 95TH STREET
Mailing Address - Street 2:29C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-348-1434
Mailing Address - Fax:212-348-1434
Practice Address - Street 1:205 EAST 95TH STREET
Practice Address - Street 2:29C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-348-1434
Practice Address - Fax:212-348-1434
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR00885511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
105749OtherMAGELLAN
C1221OtherHEALTHNET
108508OtherMHN
17543OtherVBH
8855OtherATLANTIS BL
P50550249OtherMULTIPLAN
097462OtherVALUE OPTIONS
7400854OtherGHI
4567719OtherAETNA
6220775OtherVBH
P3603908OtherOXFORD
097462OtherMHS
127069OtherCOMPSYCH
NYN47171Medicare ID - Type Unspecified