Provider Demographics
NPI:1225710676
Name:TELLER, HILA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HILA
Middle Name:
Last Name:TELLER
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 1:737 CHOPIN DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2812
Mailing Address - Country:US
Mailing Address - Phone:408-565-5944
Mailing Address - Fax:
Practice Address - Street 1:885 N SAN ANTONIO RD STE B
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1377
Practice Address - Country:US
Practice Address - Phone:408-412-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1157051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical