Provider Demographics
NPI:1568007268
Name:DELONG, BABETTE M (LISW-S)
Entity type:Individual
Prefix:
First Name:BABETTE
Middle Name:M
Last Name:DELONG
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 BAYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1067
Mailing Address - Country:US
Mailing Address - Phone:513-817-8439
Mailing Address - Fax:
Practice Address - Street 1:6560 BAYWOOD LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1067
Practice Address - Country:US
Practice Address - Phone:513-817-8439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1800762-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical