Provider Demographics
NPI:1285891200
Name:CENTENO-HATWOOD, BLANCHE M (LCSW)
Entity type:Individual
Prefix:
First Name:BLANCHE
Middle Name:M
Last Name:CENTENO-HATWOOD
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 1:738 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5442
Mailing Address - Country:US
Mailing Address - Phone:718-363-0100
Mailing Address - Fax:178-363-3005
Practice Address - Street 1:738 CROWN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5442
Practice Address - Country:US
Practice Address - Phone:718-363-0100
Practice Address - Fax:178-363-3005
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072363-11041C0700X
NY088880-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical