Provider Demographics
NPI:1851903769
Name:HYLICK, ASEANTE RENEE (LMSW)
Entity Type:Individual
Prefix:
First Name:ASEANTE
Middle Name:RENEE
Last Name:HYLICK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ASEANTE
Other - Middle Name:
Other - Last Name:RENEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:155 UNDERHILL AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4405
Mailing Address - Country:US
Mailing Address - Phone:512-203-4135
Mailing Address - Fax:
Practice Address - Street 1:1384 BROADWAY RM 1006
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-0528
Practice Address - Country:US
Practice Address - Phone:646-921-7032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107490104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker