Provider Demographics
NPI:1558484105
Name:HILKERT, EMBER BARNES (LMSW)
Entity Type:Individual
Prefix:
First Name:EMBER
Middle Name:BARNES
Last Name:HILKERT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:EMBER
Other - Middle Name:STEWART
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:NORTH ROSE
Mailing Address - State:NY
Mailing Address - Zip Code:14516-0051
Mailing Address - Country:US
Mailing Address - Phone:315-587-9588
Mailing Address - Fax:
Practice Address - Street 1:1083 WATERLOO GENEVA RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-1202
Practice Address - Country:US
Practice Address - Phone:315-539-4049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073914104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker