Hila Revah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05812100 Issued in NJ

Practice address

107A Haven Ave
Bergenfield, NJ 07621-2514

Phone

(201) 639-8004

NPI assigned

Oct 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1417424508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107A HAVEN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212514",
            "telephone_number": "201-639-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107A HAVEN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212514",
            "telephone_number": "201-639-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554427",
            "country_code": "US",
            "telephone_number": "973-777-7638 x601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVAH",
        "first_name": "HILA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05812100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sima Raphan, MS, CCC-SLP
• Rejuveinate LLC
• Rem New Jersey, Inc.
• Respite Universal Network
• Gina Marie Restivo, PSYD, BCBA-D, NCSP
• Mary Albert Mallari Reyes
• Rite Aid of New Jersey Inc
• Laurice Joyce Rivera, N.P.
• Mary Jean Rivera
• Yudeika Robles

• Clinical Social Worker in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.