MEDICARE: NANCY CLARK BADDING LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R006939-1	NY

General Provider Information

NPI Number	:	1215040407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY CLARK BADDING LCSW

Provider Business Mailing Address
First Line	:	10 LAKE RD
Second Line	:
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-6414
Country	:	US
Telephone Number	:	914-737-5554
Fax Number	:	914-245-0438

Provider Business Practice Location Address
First Line	:	1940 COMMERCE ST
Second Line	:	SUITE 300
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4428
Country	:	US
Telephone Number	:	914-245-0437
Fax Number	:	914-245-0438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	06/19/2026

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