Provider Demographics
NPI:1093435521
Name:HILL, ELISE LYNN (LMSW)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:LYNN
Other - Last Name:CIANCIOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:47 N HURON ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2607
Mailing Address - Country:US
Mailing Address - Phone:734-484-3600
Mailing Address - Fax:734-484-3100
Practice Address - Street 1:47 N HURON ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2607
Practice Address - Country:US
Practice Address - Phone:734-484-3600
Practice Address - Fax:734-484-3100
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker