Sally J Barbieri, LCSW
Individual provider Active NPI Clinical Social Worker · Bridgeport, CT
NPI 1407911753 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407911753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 005839 (CT)
- Practice address
- 1635 Central Avenue
Southwest Connecticut Mental Health System
Bridgeport, CT 06610 - Phone
- (203) 551-7660
- Fax
- (203) 551-7481
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005839 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients | |
| State of Connecticut | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005839 | CT | Yes |
Addresses
Primary practice location
1635 Central Avenue
Southwest Connecticut Mental Health System
Bridgeport, CT 06610
Mailing address
1635 Central Avenue
Room 213 Southwest CT Mental Health System
Bridgeport, CT 06610
Phone (203) 551-7660
Other providers in Bridgeport, CT
- Delores Bani
- Itisha Bansal
- Raj Kumari Bansal
- Trishia Marie Barat
- Samantha Barbessi
- Marydol Regalado Barbieto
- Amuri Barbosa
- Elizabeth Barclay
- Tanya Barnaby
- Zachary Richard Barnes
All providers in Bridgeport, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.