Provider Demographics
NPI:1063814259
Name:HILL, KATHIE L (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KATHIE
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 NW 11TH ST.
Mailing Address - Street 2:FAIRFIELD MEMORIAL HOSPITAL
Mailing Address - City:FAIRFIELD,
Mailing Address - State:IL
Mailing Address - Zip Code:62837
Mailing Address - Country:US
Mailing Address - Phone:618-847-8298
Mailing Address - Fax:618-847-8274
Practice Address - Street 1:303 NW 11TH ST.
Practice Address - Street 2:FAIRFIELD MEMORIAL HOSPITAL
Practice Address - City:FAIRFIELD,
Practice Address - State:IL
Practice Address - Zip Code:62837
Practice Address - Country:US
Practice Address - Phone:618-847-8298
Practice Address - Fax:618-847-8274
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0131971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical