Provider Demographics
NPI:1164563987
Name:HILL, JENNIFER (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N RIVER ST
Mailing Address - Street 2:SUITE 100C
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5607
Mailing Address - Country:US
Mailing Address - Phone:830-433-0160
Mailing Address - Fax:830-379-4111
Practice Address - Street 1:200 N RIVER ST
Practice Address - Street 2:SUITE 100C
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5607
Practice Address - Country:US
Practice Address - Phone:830-433-0160
Practice Address - Fax:830-379-4111
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX378311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical