Provider Demographics
NPI:1588117246
Name:KINDMAN, HILLARY (LCSW)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:KINDMAN
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 1:510 DEAL LAKE DR APT 12H
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5176
Mailing Address - Country:US
Mailing Address - Phone:917-362-0042
Mailing Address - Fax:
Practice Address - Street 1:3331 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4554
Practice Address - Country:US
Practice Address - Phone:732-807-5166
Practice Address - Fax:732-455-8248
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013911001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical