Provider Demographics
NPI:1902957285
Name:GUIDA, HILARY P (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:P
Last Name:GUIDA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:HILARY
Other - Middle Name:P
Other - Last Name:KOLOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:RONALD REFICE & ASSOCIATES
Mailing Address - Street 2:650 BOULEVARD AVENUE
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519
Mailing Address - Country:US
Mailing Address - Phone:570-383-2799
Mailing Address - Fax:570-383-0063
Practice Address - Street 1:650 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1710
Practice Address - Country:US
Practice Address - Phone:570-383-2799
Practice Address - Fax:570-383-0063
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0172081041C0700X
NJ44SC052253001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIS710771000OtherMAGELLAN
NJ084809CV9Medicare ID - Type Unspecified