Provider Demographics
NPI:1225240732
Name:ZILL, JANE CAROL (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:CAROL
Last Name:ZILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 ASHE POINT DR
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-4760
Mailing Address - Country:US
Mailing Address - Phone:603-498-1844
Mailing Address - Fax:888-466-2674
Practice Address - Street 1:325 ASHE POINT DR
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-4760
Practice Address - Country:US
Practice Address - Phone:603-498-1844
Practice Address - Fax:888-466-2674
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1072151041C0700X
NCC0137801041C0700X
MELC184831041C0700X
VT089.01342441041C0700X
NH2871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH11716287OtherCAQH
NH1403889Y0NH01OtherBLUE CROSS AND BLUE SHIEL
NH8000-2947Medicaid
NH8000-2947Medicaid