Provider Demographics
NPI:1194345439
Name:LIEBERMANN, HADAS (LCSW)
Entity type:Individual
Prefix:
First Name:HADAS
Middle Name:
Last Name:LIEBERMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6059
Mailing Address - Country:US
Mailing Address - Phone:845-802-3949
Mailing Address - Fax:
Practice Address - Street 1:1593 ROUTE 9G
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2165
Practice Address - Country:US
Practice Address - Phone:845-229-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0792551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical