Provider Demographics
NPI:1720600307
Name:BABIKIAN, NUSHEG (LMSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NUSHEG
Middle Name:
Last Name:BABIKIAN
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ELSIE AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3002
Mailing Address - Country:US
Mailing Address - Phone:516-302-7498
Mailing Address - Fax:
Practice Address - Street 1:211 E 43RD ST STE 737
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4707
Practice Address - Country:US
Practice Address - Phone:862-231-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0906541041C0700X
NY1004721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNO OTHER PROVIDER IDENTIFIERS