Provider Demographics
NPI:1538853882
Name:COLENSO, HILARY MARY (LCSW)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:MARY
Last Name:COLENSO
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:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:SANBORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03269-0064
Mailing Address - Country:US
Mailing Address - Phone:646-284-1797
Mailing Address - Fax:
Practice Address - Street 1:15 PLUMMER RD
Practice Address - Street 2:
Practice Address - City:SANBORNTON
Practice Address - State:NH
Practice Address - Zip Code:03269-2358
Practice Address - Country:US
Practice Address - Phone:646-284-1797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0509021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical