AYALA BACK LCSW
NPI 1073088159
Social Worker - Clinical in Lakewood, NJ

Active since October 04, 2018
701 CROSS ST, LAKEWOOD, NJ 08701(732) 267-7879 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayala Back Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYALA BACK LCSW (NPI 1073088159) is an individual clinical provider in Lakewood, New Jersey, licensed in New Jersey (44SC05786100) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1073088159
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAYALA BACKCredential: LCSW
Location Address701 CROSS STLakewood, NJ 08701-4029
Mailing Address28 Melissa Lee DrJackson, NJ 08527-5151 · (732) 267-7879
Sole ProprietorNo
Enumeration DateOctober 4, 2018
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1073088159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC05786100
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
701 CROSS ST, Lakewood, NJ 08701

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
701 CROSS ST
LAKEWOOD, NJ 08701
Behavior Analyst
701 CROSS ST
LAKEWOOD, NJ 08701
Social Worker (Clinical)
701 CROSS ST
LAKEWOOD, NJ 08701
Social Worker (Clinical)
701 CROSS ST
LAKEWOOD, NJ 08701
Social Worker (Clinical)
701 CROSS ST
LAKEWOOD, NJ 08701
Social Worker (Clinical)
701 CROSS ST
LAKEWOOD, NJ 08701
Speech-Language Pathologist
701 CROSS ST
LAKEWOOD, NJ 08701
Social Worker (Clinical)
701 CROSS ST
LAKEWOOD, NJ 08701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayala Back's NPI number?

The NPI number for Ayala Back is 1073088159. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Ayala Back located?

Ayala Back practices at 701 Cross St, Lakewood, NJ 08701. The listed phone number is (732) 267-7879.

What is Ayala Back's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ayala Back was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.