Babylon Coun,Seling Wellness Services, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076384 Issued in NY

Legal business name

BABYLON COUN,SELING WELLNESS SERVICES, LCSW, PC

Practice address

170 Little East Neck Rd
Suite 2
West Babylon, NY 11704-7742

Phone

(631) 482-8010

Fax

(631) 482-8012

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Dawn E. Shedrick, LCSW

Title

Co-Owner

Phone

(631) 482-8010

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1376878892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "631-482-8010",
            "fax_number": "631-482-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "631-482-8010",
            "fax_number": "631-482-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABYLON COUN,SELING WELLNESS SERVICES, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "631-482-8010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076384",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Austin-Saintelus
• Melanie Celeste Austin, OTR
• Ashley Awand
• Kate Regan Azab, NP
• Babylon Center, LLC (Babylon Center Rehabilitation & Nursing)
• Babylon Dental Care
• Babylon Physical Therapy PLLC
• Back in the Game Physical Therapy and Chiropractic PLLC
• John Baker, DDS
• Silvia Baker, DDS

• Clinical Social Worker in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.