Provider Demographics
NPI:1043746563
Name:HILTON, DORIAN (LCSW)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:
Last Name:HILTON
Suffix:
Gender:X
Credentials:LCSW
Other - Prefix:
Other - First Name:DORIAN
Other - Middle Name:
Other - Last Name:HARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4810 DAISY ST APT A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2800
Mailing Address - Country:US
Mailing Address - Phone:510-863-0359
Mailing Address - Fax:
Practice Address - Street 1:1735 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2417
Practice Address - Country:US
Practice Address - Phone:415-565-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84557101Y00000X, 104100000X
CA1084081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker