Provider Demographics
NPI:1871329300
Name:HEILBERG, HILARY MEREDITH (LMSW)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:MEREDITH
Last Name:HEILBERG
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 1:420 E 61ST ST APT 32B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8778
Mailing Address - Country:US
Mailing Address - Phone:917-582-4883
Mailing Address - Fax:
Practice Address - Street 1:420 E 61ST ST APT 32B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8778
Practice Address - Country:US
Practice Address - Phone:917-582-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12470901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker