Provider Demographics
NPI:1578626438
Name:BAGGA, KAMLESH KOCHAR (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAMLESH
Middle Name:KOCHAR
Last Name:BAGGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAMLESH
Other - Middle Name:KUMARI
Other - Last Name:KOCHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2105 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:917-741-5542
Mailing Address - Fax:718-518-7647
Practice Address - Street 1:2105 WILLIAMSBRIDGE RD
Practice Address - Street 2:KAMLESH K BAGGA
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:917-741-5542
Practice Address - Fax:718-518-7647
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2293711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical