Healthcare Provider Details

I. General information

NPI: 1851180004
Provider Name (Legal Business Name): ALICIA HURLBURT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 UNIVERSITY AVE
ROCHESTER NY
14607-1622
US

IV. Provider business mailing address

174 N GOODMAN ST APT 2
ROCHESTER NY
14607-1134
US

V. Phone/Fax

Practice location:
  • Phone: 585-641-0281
  • Fax: 585-641-0286
Mailing address:
  • Phone: 585-506-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: