Provider Demographics
NPI:1467174193
Name:HILL, MOLLY NICOLE (MSW, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:NICOLE
Last Name:HILL
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:FAIR GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65648-0247
Mailing Address - Country:US
Mailing Address - Phone:417-818-8771
Mailing Address - Fax:
Practice Address - Street 1:1901 E BENNETT ST STE B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1427
Practice Address - Country:US
Practice Address - Phone:417-409-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical