MEDICARE: MS. SHAYLA MICHELLE HILT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	082110-1	NY

General Provider Information

NPI Number	:	1316195837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAYLA MICHELLE HILT LCSW

Provider Business Mailing Address
First Line	:	875 4TH AVE APT 103
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-2186
Country	:	US
Telephone Number	:	347-721-0654
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 GREENWOOD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-1349
Country	:	US
Telephone Number	:	347-721-0654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	10/13/2024

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