Provider Demographics
NPI:1346558434
Name:HILL, ELLIOTT RYAN (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ELLIOTT
Middle Name:RYAN
Last Name:HILL
Suffix:
Gender:M
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 1:11006 VEIRS MILL RD
Mailing Address - Street 2:STE L-15 #360
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2582
Mailing Address - Country:US
Mailing Address - Phone:504-952-3411
Mailing Address - Fax:
Practice Address - Street 1:6310 RHODES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-4148
Practice Address - Country:US
Practice Address - Phone:504-952-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0035181041C0700X
LA38071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical