Provider Demographics
NPI:1871608984
Name:BABOLCSAY, LINDA M (LCSW, CASAC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:BABOLCSAY
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 BREAD AND CHEESE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2636
Mailing Address - Country:US
Mailing Address - Phone:516-457-1807
Mailing Address - Fax:
Practice Address - Street 1:32 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1735
Practice Address - Country:US
Practice Address - Phone:516-457-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070109101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1041C0700XOtherTAXONOMY
NY112289028OtherTAX