Provider Demographics
NPI:1407870678
Name:HILSENRATH, NANCY JOY (LCSW, CASAC,SAP)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JOY
Last Name:HILSENRATH
Suffix:
Gender:F
Credentials:LCSW, CASAC,SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3216
Mailing Address - Country:US
Mailing Address - Phone:718-551-2777
Mailing Address - Fax:
Practice Address - Street 1:792 HARRISON ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3216
Practice Address - Country:US
Practice Address - Phone:718-551-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO36837-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical