Provider Demographics
NPI:1316195837
Name:HILT, SHAYLA MICHELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHAYLA
Middle Name:MICHELLE
Last Name:HILT
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 1:275 9TH ST UNIT 150007
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4290
Mailing Address - Country:US
Mailing Address - Phone:347-721-0654
Mailing Address - Fax:
Practice Address - Street 1:829 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1349
Practice Address - Country:US
Practice Address - Phone:347-721-0654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082110-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical