Provider Demographics
NPI:1568007268
Name:DELONG, BABETTE M (LISW)
Entity Type:Individual
Prefix:
First Name:BABETTE
Middle Name:M
Last Name:DELONG
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 LINN ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1314
Mailing Address - Country:US
Mailing Address - Phone:513-242-1033
Mailing Address - Fax:
Practice Address - Street 1:1019 LINN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1314
Practice Address - Country:US
Practice Address - Phone:513-242-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker