Individual provider Active NPI

Babak Sadighim, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1295517290
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095982 Issued in NY
Practice address
808 Union St Ste 3a
Brooklyn, NY 11215-1386
Phone
(516) 366-4615
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095982 NY Primary

Addresses

Primary practice location

808 Union St Ste 3a
Brooklyn, NY 11215-1386

Mailing address

40 Andover Rd
Roslyn Heights, NY 11577-1802
Phone (516) 639-6988

Other names 1

  • Bobby Babak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001752 NY Practitioner - Clinical Social Worker 2961980008 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Andover Rd
Roslyn Heights, NY 11577-1802

808 Union St
Suite 3a
Brooklyn, NY 11215-1386
Phone (516) 366-4615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095982NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1295517290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ANDOVER RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771802",
            "telephone_number": "516-639-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UNION ST STE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151386",
            "telephone_number": "516-366-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIGHIM",
        "first_name": "BABAK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "BABAK",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.