Provider Demographics
NPI:1043481013
Name:BABAD, ARIELLA ESTHER (LCSW-R)
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:ESTHER
Last Name:BABAD
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 SAGE ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4844
Mailing Address - Country:US
Mailing Address - Phone:347-201-3615
Mailing Address - Fax:
Practice Address - Street 1:1236 SAGE ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4844
Practice Address - Country:US
Practice Address - Phone:347-201-3615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069916104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker