Provider Demographics
NPI:1982226627
Name:HEHN, CAMILLE (LCSW-R)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:HEHN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-1432
Mailing Address - Country:US
Mailing Address - Phone:518-237-3572
Mailing Address - Fax:
Practice Address - Street 1:527 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-1432
Practice Address - Country:US
Practice Address - Phone:518-237-3572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR034603-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical