Provider Demographics
NPI:1699898197
Name:HORGAN, BARBARA (MSW, LICSW, CH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HORGAN
Suffix:
Gender:F
Credentials:MSW, LICSW, CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CANAL ST
Mailing Address - Street 2:APT. 226
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-3266
Mailing Address - Country:US
Mailing Address - Phone:508-414-4568
Mailing Address - Fax:
Practice Address - Street 1:182 TURNPIKE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2830
Practice Address - Country:US
Practice Address - Phone:508-475-9110
Practice Address - Fax:508-422-9730
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1163671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA116367OtherSOCIAL WORKER