Samuel Allan Babcock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006445 Issued in CT

Practice address

386 Main St
Middletown, CT 06457-3360

Phone

(860) 685-0053

Fax

(860) 347-0034

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114137528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064570633",
            "telephone_number": "860-685-0053",
            "fax_number": "860-347-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573360",
            "telephone_number": "860-685-0053",
            "fax_number": "860-347-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "SAMUEL",
        "middle_name": "ALLAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006445",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Christina Aucoin, O.D.
• David Augenblick, MD
• Courtney W. Augustine-Palmer, LMSW
• Akashdeep Aujla, M.D.
• Tanya Azzaro
• Jessica Marie Badichek, PHARMD
• Jessenia Baez
• Tina Rita Bafumi, M.D.
• David Baggish, M.D.
• Kayleen Bailen

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.