Provider Demographics
NPI:1265492920
Name:PERLBERGER HOLLMANN, JILLIAN (LMSW)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:PERLBERGER HOLLMANN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8028
Mailing Address - Country:US
Mailing Address - Phone:718-839-8900
Mailing Address - Fax:718-839-8989
Practice Address - Street 1:25 E 183RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1242
Practice Address - Country:US
Practice Address - Phone:718-839-8900
Practice Address - Fax:718-839-8989
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0691471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical