Individual
CARMEN E BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1235 35TH AVE APT 2A, ASTORIA, NY 11106-4738
(718) 419-9507
Mailing address
1235 35TH AVE APT 2A, ASTORIA, NY 11106-4738
(718) 419-9507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
093403
NY
1041C0700X
Clinical Social Worker
Primary
089155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06768487
—
NY
05
—
093403
—
NY
Enumeration date
11/19/2016
Last updated
02/29/2024
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