| Doctor Name: | KENT BABCOCK |
| NPI Number: | 1376966325 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LMSW |
| License Number: | 060443 |
| Business Practice Address: | 166 Stillwater Rd Stone Ridge, NY - 124845012 |
| Business Phone Number: | 8458077147 |
| Business Fax Number: | |
| Mailing Address: | 166 Stillwater Rd, STONE RIDGE |
| State: | NY |
| Postal Code: | 124845012 |
| Phone Number: | 8456577024 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2014 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 060443 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |