Provider Demographics
NPI:1154972263
Name:HILKEY, BRENNA N (LSW)
Entity type:Individual
Prefix:MRS
First Name:BRENNA
Middle Name:N
Last Name:HILKEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:BRENNA
Other - Middle Name:N
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1158 WESTWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891
Mailing Address - Country:US
Mailing Address - Phone:419-238-3434
Mailing Address - Fax:419-238-1955
Practice Address - Street 1:1158 WESTWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891
Practice Address - Country:US
Practice Address - Phone:419-238-3434
Practice Address - Fax:419-238-1955
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
OHS1903917104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0371653Medicaid
OHS1903917Medicaid