Provider Demographics
NPI:1619234994
Name:HAYDEN, DOROTHY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:HAYDEN
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 1:209 E 10TH ST APT 14
Mailing Address - Street 2:SUITE #14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-7671
Mailing Address - Country:US
Mailing Address - Phone:212-673-5717
Mailing Address - Fax:
Practice Address - Street 1:209 E 10TH ST
Practice Address - Street 2:#14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7633
Practice Address - Country:US
Practice Address - Phone:212-673-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0757051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical