Provider Demographics
NPI:1700375805
Name:HILLARY GREENE-PAE
Entity Type:Organization
Organization Name:HILLARY GREENE-PAE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE-PAE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:818-321-1044
Mailing Address - Street 1:26722 PROVENCE DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3822
Mailing Address - Country:US
Mailing Address - Phone:828-321-1044
Mailing Address - Fax:818-223-8870
Practice Address - Street 1:26722 PROVENCE DR
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3822
Practice Address - Country:US
Practice Address - Phone:818-321-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty