Barbara Jean Fair, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005736 Issued in CT

Practice address

230 Ashmun St
New Haven, CT 06511-3574

Phone

(203) 772-4228

Fax

(203) 776-1982

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Children and Family Center

  • Community/Behavioral Health Agency
  • New Haven, CT
  • NPI 1902059736
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1063657112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3302",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065150402",
            "telephone_number": "203-777-4428",
            "fax_number": "203-776-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ASHMUN ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113574",
            "telephone_number": "203-772-4228",
            "fax_number": "203-776-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004257235",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fair Haven Community Health Clinic, Inc
• Fair Haven Community Health Clinic, Inc (Grand Pharmacy 374)
• Fair Haven Community Health Clinic, Inc (Fair Haven Community Health Center)
• Fair Haven Dental LLC
• Fair Haven Pharmacy LLC
• Susan Fair, P.A.-C.
• Melissa Gerardi Fairbairn, PA-C
• Victoria Christine Fairchild, MD
• Elaine C. Fajardo, M.D.
• Omar Fakhreddine, M.D.

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.