Provider Demographics
NPI:1154073914
Name:BARON, ADI (LMSW)
Entity Type:Individual
Prefix:
First Name:ADI
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2689 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4512
Mailing Address - Country:US
Mailing Address - Phone:516-971-2295
Mailing Address - Fax:
Practice Address - Street 1:2689 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4512
Practice Address - Country:US
Practice Address - Phone:516-971-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker