Provider Demographics
NPI:1407243595
Name:AZANI, BATYA NOVICK (LCSW)
Entity Type:Individual
Prefix:
First Name:BATYA
Middle Name:NOVICK
Last Name:AZANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 VAN BRUNT ST # 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1230
Mailing Address - Country:US
Mailing Address - Phone:917-409-7142
Mailing Address - Fax:
Practice Address - Street 1:122 W 26TH ST RM 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7055
Practice Address - Country:US
Practice Address - Phone:917-409-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0823181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical