Provider Demographics
NPI:1013677111
Name:BABADI, NEGIN (LMSW)
Entity Type:Individual
Prefix:
First Name:NEGIN
Middle Name:
Last Name:BABADI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1830
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-1830
Mailing Address - Country:US
Mailing Address - Phone:505-327-7218
Mailing Address - Fax:505-327-0828
Practice Address - Street 1:1313 MISSION AVE.
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-8740
Practice Address - Country:US
Practice Address - Phone:505-327-7218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-12193104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker