Healthcare Provider Details

I. General information

NPI: 1770852907
Provider Name (Legal Business Name): BEATRICE HYACINTHE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 KENILWORTH PL FL 1
BROOKLYN NY
11210-2439
US

IV. Provider business mailing address

108 KENILWORTH PL FL 1 SUITE 2
BROOKLYN NY
11210-2439
US

V. Phone/Fax

Practice location:
  • Phone: 347-627-8400
  • Fax:
Mailing address:
  • Phone: 917-741-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number083559
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number083559
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: