Provider Demographics
NPI:1881774966
Name:BADO, ROBIN ELISE (LCSW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ELISE
Last Name:BADO
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 1:854 QUEEN ANNE RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4622
Mailing Address - Country:US
Mailing Address - Phone:201-836-4327
Mailing Address - Fax:201-836-8280
Practice Address - Street 1:854 QUEEN ANNE RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4622
Practice Address - Country:US
Practice Address - Phone:201-836-4327
Practice Address - Fax:201-836-8280
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051997001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical