Provider Demographics
NPI:1437299385
Name:HILL, JOHN G (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:G
Last Name:HILL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HOLLYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3917
Mailing Address - Country:US
Mailing Address - Phone:504-838-8283
Mailing Address - Fax:
Practice Address - Street 1:110 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 425
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3027
Practice Address - Country:US
Practice Address - Phone:504-838-8283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1376OtherLICENSE