Provider Demographics
NPI:1033606546
Name:HILL, ROBERT DAYTON (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DAYTON
Last Name:HILL
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4585 HILTON PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3559
Mailing Address - Country:US
Mailing Address - Phone:571-477-1551
Mailing Address - Fax:719-434-9914
Practice Address - Street 1:4585 HILTON PKWY STE 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3559
Practice Address - Country:US
Practice Address - Phone:571-477-1551
Practice Address - Fax:719-434-9914
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77434101YM0800X
CO1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health