Basic Information
| Provider Information | |||||||||
| NPI: | 1679720148 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRATHWAITE | ||||||||
| FirstName: | BARBARA-ANNE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW, CASAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | NEW YORK HARBOR HEALTHCARE SYSTEM | ||||||||
| Address2: | 800 POLY PLACE | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188366600 | ||||||||
| FaxNumber: | 7186302885 | ||||||||
| Practice Location | |||||||||
| Address1: | NEW YORK HARBOR HEALTCARE SYSTEM | ||||||||
| Address2: | 900 POLY PLACE | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188366600 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2008 | ||||||||
| LastUpdateDate: | 05/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 072338 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.