Provider Demographics
NPI:1588928600
Name:KROSNEY-REDIKER, HILARY (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:KROSNEY-REDIKER
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:KROSNEY
Other - Last Name:REDIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:210 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4722
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 SUMMERFIELD AVE
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-6921
Practice Address - Country:US
Practice Address - Phone:732-774-6886
Practice Address - Fax:732-774-8809
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC0061500101YM0800X
NJ37LC00275800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0535826Medicaid
NJ0283690Medicaid