Provider Demographics
NPI:1629056353
Name:BABCHUCK, SMADAR SARA (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SMADAR
Middle Name:SARA
Last Name:BABCHUCK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 WISWALL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3544
Mailing Address - Country:US
Mailing Address - Phone:617-964-1191
Mailing Address - Fax:617-332-1229
Practice Address - Street 1:206 WISWALL RD
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-3544
Practice Address - Country:US
Practice Address - Phone:617-947-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2025754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health