Provider Demographics
NPI:1659033413
Name:BADADA, ZABEBA SADO (LCSW)
Entity Type:Individual
Prefix:
First Name:ZABEBA
Middle Name:SADO
Last Name:BADADA
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 1:4801 S LAKESHORE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7157
Mailing Address - Country:US
Mailing Address - Phone:605-370-9790
Mailing Address - Fax:480-422-2474
Practice Address - Street 1:4801 S LAKESHORE DR STE 204
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7157
Practice Address - Country:US
Practice Address - Phone:605-370-9790
Practice Address - Fax:480-422-2474
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
AZLCSW-198461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical