Provider Demographics
NPI:1790191443
Name:HODA, HENA JABEEN (MSW)
Entity Type:Individual
Prefix:
First Name:HENA
Middle Name:JABEEN
Last Name:HODA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6889 STATE ROUTE 434
Mailing Address - Street 2:
Mailing Address - City:APALACHIN
Mailing Address - State:NY
Mailing Address - Zip Code:13732-3503
Mailing Address - Country:US
Mailing Address - Phone:607-625-4843
Mailing Address - Fax:607-625-4846
Practice Address - Street 1:6889 STATE ROUTE 434
Practice Address - Street 2:
Practice Address - City:APALACHIN
Practice Address - State:NY
Practice Address - Zip Code:13732-3503
Practice Address - Country:US
Practice Address - Phone:607-625-4843
Practice Address - Fax:607-625-4846
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 P93395104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker