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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AYALA BACK, LCSW

Active

AYALA BACK, LCSW is a Clinical Social Worker healthcare provider located in LAKEWOOD, New Jersey. NPI 1073088159 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAKEWOOD, NJ

Registration Details

NPI Number
1073088159
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2018 (7.8343203000797 yrs)
Last Updated
Mar 15, 2022
License
44SC05786100 (NJ)

Practice Information

Address
701 CROSS ST
LAKEWOOD, NJ, 087014029
Browse NJ providers · Browse ZIP 08701
Phone
7322677879
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LAKEWOOD, NJ

Name Credential NPI
MR. ISAAC S GELLEY LCSW 1467490409
ALYSSA J DIXON LCSW 1992746440
BENJAMIN ZEILINGOLD L.C.S.W. 1295744373
MS. ANN L HOAGLAND MSW LCSW 1083716609
SHIRA SPEISER LCSW 1538267968
LUANN ALBANESE LCSW 1598851537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.