Provider Demographics
NPI:1720175128
Name:PASQUARELLI, BARBARA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:PASQUARELLI
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 1:7287 EAST ECLIPSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266
Mailing Address - Country:US
Mailing Address - Phone:602-717-9280
Mailing Address - Fax:
Practice Address - Street 1:7702 EAST DOUBLETREE RANCH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258
Practice Address - Country:US
Practice Address - Phone:602-717-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34421041C0700X
NYPR02145611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical