Provider Demographics
NPI:1528893880
Name:WEXLER, HANNA (LMSW)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:WEXLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 WILLIAMSBRIDGE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1631
Mailing Address - Country:US
Mailing Address - Phone:917-992-1569
Mailing Address - Fax:
Practice Address - Street 1:2024 WILLIAMSBRIDGE RD STE 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1631
Practice Address - Country:US
Practice Address - Phone:917-992-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123828-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker