Provider Demographics
NPI:1306394002
Name:HJELSET, RICHARD K (LMSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:K
Last Name:HJELSET
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BIRCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-1903
Mailing Address - Country:US
Mailing Address - Phone:631-828-4442
Mailing Address - Fax:631-828-4442
Practice Address - Street 1:39 BIRCH HILL RD
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-1903
Practice Address - Country:US
Practice Address - Phone:631-828-4442
Practice Address - Fax:631-828-4442
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0672831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical