Healthcare Provider Details

I. General information

NPI: 1215040407
Provider Name (Legal Business Name): NANCY BADDING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 COMMERCE ST SUITE 300
YORKTOWN HEIGHTS NY
10598-4428
US

IV. Provider business mailing address

10 LAKE RD
CORTLANDT MANOR NY
10567-6414
US

V. Phone/Fax

Practice location:
  • Phone: 914-245-0437
  • Fax: 914-245-0438
Mailing address:
  • Phone: 914-737-5554
  • Fax: 914-245-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR006939-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: