Provider Demographics
NPI:1972590503
Name:HIRSCH, A DEBORAH (LCSW)
Entity type:Individual
Prefix:MS
First Name:A
Middle Name:DEBORAH
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ARLINE
Other - Middle Name:DEBORAH
Other - Last Name:CONIGLIARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21 E 22ND ST
Mailing Address - Street 2:#11 A/B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5332
Mailing Address - Country:US
Mailing Address - Phone:212-228-8506
Mailing Address - Fax:
Practice Address - Street 1:21 E 22ND ST
Practice Address - Street 2:#11B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5332
Practice Address - Country:US
Practice Address - Phone:212-979-9766
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0180711041C0700X
NJ44SC007492001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN13281Medicare ID - Type Unspecified