Provider Demographics
NPI:1396871448
Name:HILLMAN, LISA BETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:BETH
Last Name:HILLMAN
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 1:11 WOODFORD LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2926
Mailing Address - Country:US
Mailing Address - Phone:732-780-7399
Mailing Address - Fax:
Practice Address - Street 1:8998 STATE ROUTE 18
Practice Address - Street 2:SUITE 211
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3360
Practice Address - Country:US
Practice Address - Phone:732-679-6079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC 478461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical