Provider Demographics
NPI:1952826737
Name:DEMOSTENES, HILARY SCHADLE (LSW)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:SCHADLE
Last Name:DEMOSTENES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:HILARY
Other - Middle Name:SCHADLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2780 AIRPORT DRIVE, SUITE 100
Mailing Address - Street 2:SUITE 100 - BILLING/CREDENTIALING DEPT.
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2289
Mailing Address - Country:US
Mailing Address - Phone:614-645-5500
Mailing Address - Fax:614-645-5517
Practice Address - Street 1:2780 AIRPORT DR
Practice Address - Street 2:SUITE 100 - BILLING/CREDENTIALING DEPT.
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:614-645-5500
Practice Address - Fax:614-645-5517
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17007071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical