Provider Demographics
NPI:1952529059
Name:BABINEAU, JUNE CRIDLAND (LCSW,C-ASWCM)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:CRIDLAND
Last Name:BABINEAU
Suffix:
Gender:F
Credentials:LCSW,C-ASWCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 STAPLES AVE # 1-UP
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3821
Mailing Address - Country:US
Mailing Address - Phone:305-295-9170
Mailing Address - Fax:
Practice Address - Street 1:1300 DOUGLAS CIR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4536
Practice Address - Country:US
Practice Address - Phone:305-293-4600
Practice Address - Fax:305-293-4569
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 84431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical