Provider Demographics
NPI:1891312070
Name:HILSENRATH, MORGAN BLAIR (LCSW)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:BLAIR
Last Name:HILSENRATH
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 1:160 W 97TH ST APT 6H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-9234
Mailing Address - Country:US
Mailing Address - Phone:561-997-4474
Mailing Address - Fax:
Practice Address - Street 1:160 W 97TH ST APT 6H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-9234
Practice Address - Country:US
Practice Address - Phone:561-997-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-03
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0971101041C0700X
NY109379104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker