Provider Demographics
NPI:1588440382
Name:BETANCES-HIDALGO, BRIYITH MARIEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:BRIYITH
Middle Name:MARIEL
Last Name:BETANCES-HIDALGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02131-2561
Mailing Address - Country:US
Mailing Address - Phone:617-286-2087
Mailing Address - Fax:617-507-5387
Practice Address - Street 1:4228 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02131-2561
Practice Address - Country:US
Practice Address - Phone:617-286-2087
Practice Address - Fax:617-507-5387
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW21203461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical