Provider Demographics
NPI:1073690038
Name:DEWEERD, HILARY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:
Last Name:DEWEERD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 CARY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-2703
Mailing Address - Country:US
Mailing Address - Phone:512-577-6020
Mailing Address - Fax:512-451-3895
Practice Address - Street 1:1604 W 34TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1435
Practice Address - Country:US
Practice Address - Phone:512-577-6020
Practice Address - Fax:512-451-3895
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00926PMedicare UPIN