Provider Demographics
NPI:1255469128
Name:HENDEL, HILARY JACOBS (LMSW)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:JACOBS
Last Name:HENDEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, DDS
Mailing Address - Street 1:277 W END AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2607
Mailing Address - Country:US
Mailing Address - Phone:917-239-7006
Mailing Address - Fax:
Practice Address - Street 1:180 WEST END AVENUE, STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-239-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0688861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical