Provider Demographics
NPI:1295517290
Name:SADIGHIM, BABAK (LCSW)
Entity type:Individual
Prefix:
First Name:BABAK
Middle Name:
Last Name:SADIGHIM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:
Other - Last Name:BABAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:40 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1802
Mailing Address - Country:US
Mailing Address - Phone:516-639-6988
Mailing Address - Fax:
Practice Address - Street 1:808 UNION ST STE 3A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1386
Practice Address - Country:US
Practice Address - Phone:516-366-4615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0959821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical