1992784888 NPI number — MS. EVA M HILL LICSW

Table of content: MS. EVA M HILL LICSW (NPI 1992784888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992784888 NPI number — MS. EVA M HILL LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
EVA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992784888
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1120 19TH ST NW
Provider Second Line Business Mailing Address:
SUITE 490
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20036-3605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-510-5022
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1120 19TH ST NW
Provider Second Line Business Practice Location Address:
SUITE 490
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036-3605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-510-5022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  005775 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: LC50078578 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 11996 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 005775 . This is a "LCSW" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 11996 . This is a "LCSW-C" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: LC50078578 . This is a "LICSW" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 004236015 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com