Provider Demographics
NPI:1679926943
Name:GLUCK, HANA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:HANA
Middle Name:
Last Name:GLUCK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:HANA
Other - Middle Name:
Other - Last Name:GURWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:285 AYCRIGG AVE
Mailing Address - Street 2:APT 2E
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3737
Mailing Address - Country:US
Mailing Address - Phone:914-391-1799
Mailing Address - Fax:
Practice Address - Street 1:285 AYCRIGG AVE
Practice Address - Street 2:APT 2E
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3737
Practice Address - Country:US
Practice Address - Phone:914-391-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095624-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical