Individual provider Active NPI

Shayla Michelle Hilt, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1316195837
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082110-1 Issued in NY
Practice address
829 Greenwood Ave
Brooklyn, NY 11218-1349
Phone
(347) 721-0654
NPI assigned
Sep 9, 2008
Last updated
Oct 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082110-1 NY Primary

Addresses

Primary practice location

829 Greenwood Ave
Brooklyn, NY 11218-1349

Mailing address

875 4TH Ave Apt 103
Brooklyn, NY 11232-2186
Phone (347) 721-0654

Other practice location 1

397 Bridge St Fl 7
Brooklyn, NY 11201-5247
Phone (347) 721-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000755 NY Practitioner - Clinical Social Worker 4880992049 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082110-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Fortune Society PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1316195837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 4TH AVE APT 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322186",
            "telephone_number": "347-721-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 GREENWOOD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181349",
            "telephone_number": "347-721-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Bridge St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015247",
            "country_code": "US",
            "telephone_number": "347-721-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILT",
        "first_name": "SHAYLA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.