Provider Demographics
NPI:1447615281
Name:HILL, TAMIKA (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:
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 1:9730 S WESTERN AVE STE 234
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2761
Mailing Address - Country:US
Mailing Address - Phone:708-800-1138
Mailing Address - Fax:708-481-9032
Practice Address - Street 1:9730 S WESTERN AVE STE 234
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2761
Practice Address - Country:US
Practice Address - Phone:708-800-1138
Practice Address - Fax:708-481-9032
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490194091041C0700X
IL150101370104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker