Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayala Back, LCSW

Individual provider Clinical Social Worker · NPI 1073088159

Ayala Back, LCSW is a Clinical Social Worker in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

701 Cross St
Lakewood, NJ 08701-4029
Phone: (732) 267-7879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05786100 (NJ)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1073088159
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address28 Melissa Lee Dr, Jackson, NJ 08527-5151

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