Echi Barhydt, LCSW-R

Individual provider Active NPI Clinical Social Worker · Niskayuna, NY

NPI 1306196589 · NPPES record last updated Aug 9, 2021

Key facts

NPI
1306196589
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
7848080 (NY)
Practice address
10 Pinecrest Dr
Niskayuna, NY 12309-1640
Phone
(518) 334-2791
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7848080NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7848080 NY Yes

Addresses

Primary practice location

10 Pinecrest Dr
Niskayuna, NY 12309-1640

Mailing address

10 Pinecrest Dr
Niskayuna, NY 12309-1640
Phone (518) 334-2791

Other identifiers

IdentifierTypeStateIssuer
555793MedicaidNY

Other providers in Niskayuna, NY

All providers in Niskayuna, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.