Provider Demographics
NPI:1639495062
Name:HALFHIDE-TORRES, CAROL S (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:HALFHIDE-TORRES
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 1:6581 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-3830
Mailing Address - Country:US
Mailing Address - Phone:718-984-4589
Mailing Address - Fax:718-984-4752
Practice Address - Street 1:6581 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3830
Practice Address - Country:US
Practice Address - Phone:718-984-4589
Practice Address - Fax:718-984-4752
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0631391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical