Provider Demographics
NPI:1538675780
Name:CLINTON HILL COUNSELING
Entity Type:Organization
Organization Name:CLINTON HILL COUNSELING
Other - Org Name:HELEN UNGER LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:718-757-4867
Mailing Address - Street 1:321 SUNSET AVE # P4
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5554
Mailing Address - Country:US
Mailing Address - Phone:917-804-1363
Mailing Address - Fax:
Practice Address - Street 1:129 WAVERLY AVE # 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2403
Practice Address - Country:US
Practice Address - Phone:718-757-4867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084805-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1467796938Medicaid