Provider Demographics
NPI:1467431387
Name:ISRACH, HILARY JANET (MSW)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:JANET
Last Name:ISRACH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:HILARY
Other - Middle Name:JANET
Other - Last Name:ISRACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2930 CADIZ RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:954-383-0975
Mailing Address - Fax:561-391-1815
Practice Address - Street 1:2930 CADIZ RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432
Practice Address - Country:US
Practice Address - Phone:954-383-0975
Practice Address - Fax:561-391-1815
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3357104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5689Medicare ID - Type Unspecified