Provider Demographics
NPI:1346686011
Name:HURWITZ, GLENN A (LMSW)
Entity Type:Individual
Prefix:MR
First Name:GLENN
Middle Name:A
Last Name:HURWITZ
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 1:500 RIVERDALE AVE
Mailing Address - Street 2:APT. 6F
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-3564
Mailing Address - Country:US
Mailing Address - Phone:914-965-3255
Mailing Address - Fax:
Practice Address - Street 1:3961 HILLMAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3001
Practice Address - Country:US
Practice Address - Phone:718-796-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0891491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical