Provider Demographics
NPI:1417744913
Name:BABROW, PETER (LSW)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:BABROW
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 CHAMOUNIX DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3709
Mailing Address - Country:US
Mailing Address - Phone:267-225-3404
Mailing Address - Fax:
Practice Address - Street 1:1311 BRISTOL PIKE STE 100
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6455
Practice Address - Country:US
Practice Address - Phone:215-645-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1422531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical