Provider Demographics
NPI:1891419677
Name:WALTER, HANNAH ISABEL (LMSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ISABEL
Last Name:WALTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 35TH ST APT D44
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-1625
Mailing Address - Country:US
Mailing Address - Phone:301-509-9149
Mailing Address - Fax:
Practice Address - Street 1:3510 35TH ST APT D44
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-1625
Practice Address - Country:US
Practice Address - Phone:301-509-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker