Provider Demographics
NPI:1962721456
Name:HIRSCH, NANCY (MSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E 65TH ST
Mailing Address - Street 2:APT. 15H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6712
Mailing Address - Country:US
Mailing Address - Phone:917-562-6437
Mailing Address - Fax:
Practice Address - Street 1:360 E 65TH ST
Practice Address - Street 2:APT. 15H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6712
Practice Address - Country:US
Practice Address - Phone:917-562-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041010-1101Y00000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor