Provider Demographics
NPI:1417227919
Name:HILL, LORETTA G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:G
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 1:17531 BARRETT LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-7540
Mailing Address - Country:US
Mailing Address - Phone:225-400-9936
Mailing Address - Fax:225-615-7254
Practice Address - Street 1:1651 THIBODEAUX AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-926-4009
Practice Address - Fax:225-926-4069
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical