1043296767 NPI number — MRS. BARBARA SUE HILL MSW LCSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043296767 NPI number — MRS. BARBARA SUE HILL MSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
BARBARA
Provider Middle Name:
SUE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSW
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:
1043296767
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 VALENCIA DR
Provider Second Line Business Mailing Address:
SUITE 108
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28546-7356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-346-9000
Provider Business Mailing Address Fax Number:
910-355-0672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 VALENCIA DR
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28546-6311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-346-9000
Provider Business Practice Location Address Fax Number:
910-355-0672
Provider Enumeration Date:
12/15/2005

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:  C001500 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6002641 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64306 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 731666345 . This is a "TAX ID" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com