Provider Demographics
NPI:1124095773
Name:NADLER, HANNAH BRIN (LCSW)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:BRIN
Last Name:NADLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WEST 12TH STREET
Mailing Address - Street 2:APARTMENT 5F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8277
Mailing Address - Country:US
Mailing Address - Phone:212-929-1603
Mailing Address - Fax:917-305-0056
Practice Address - Street 1:80 FIFTH AVE
Practice Address - Street 2:SUITE 1001
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8277
Practice Address - Country:US
Practice Address - Phone:212-645-2929
Practice Address - Fax:917-305-0056
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0170051041C0700X
NJSC018571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
213306OtherMHN
213306OtherMHN