Provider Demographics
NPI:1679346837
Name:KABARI, LEDORNUBARI (LCSW)
Entity Type:Individual
Prefix:
First Name:LEDORNUBARI
Middle Name:
Last Name:KABARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LEDORNUBARI
Other - Middle Name:
Other - Last Name:KABARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:152 JACKSON ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1199
Mailing Address - Country:US
Mailing Address - Phone:678-308-7853
Mailing Address - Fax:
Practice Address - Street 1:350 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6617
Practice Address - Country:US
Practice Address - Phone:203-285-4791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0134361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical