Provider Demographics
NPI:1861408684
Name:HILBURGER, JILL D (LCSWR)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:D
Last Name:HILBURGER
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MARJORIE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2423
Mailing Address - Country:US
Mailing Address - Phone:716-832-3132
Mailing Address - Fax:716-832-3178
Practice Address - Street 1:4184 SENECA ST
Practice Address - Street 2:STE 208
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3051
Practice Address - Country:US
Practice Address - Phone:716-867-7070
Practice Address - Fax:716-832-3178
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043302104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000525106001OtherCOMMUNITY BLUE
NY00030241501OtherUNIVERA
NY000525106001OtherCOMMUNITY BLUE
NY00030241501OtherUNIVERA