Provider Demographics
NPI:1770619546
Name:PARENTE, HILARY S (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:S
Last Name:PARENTE
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:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-0055
Mailing Address - Country:US
Mailing Address - Phone:631-312-4638
Mailing Address - Fax:631-730-8731
Practice Address - Street 1:475 E MAIN ST
Practice Address - Street 2:SUITE 213
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3121
Practice Address - Country:US
Practice Address - Phone:631-357-1460
Practice Address - Fax:631-730-8731
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO538841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN2Y331Medicare ID - Type Unspecified