Provider Demographics
NPI:1427004662
Name:HILL, JANICE I (MSW, LISW)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:I
Last Name:HILL
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1343
Mailing Address - Country:US
Mailing Address - Phone:515-277-6991
Mailing Address - Fax:515-277-6995
Practice Address - Street 1:7405 UNIVERSITY AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1343
Practice Address - Country:US
Practice Address - Phone:515-277-6991
Practice Address - Fax:515-277-6995
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IALISW 3371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA38792OtherNPI PROVIDER NUMBER