Provider Demographics
NPI:1467803999
Name:HILL, ROSA JANE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ROSA
Middle Name:JANE
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 E CLOVERLAND DR STE 2
Mailing Address - Street 2:
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-1422
Mailing Address - Country:US
Mailing Address - Phone:906-281-6476
Mailing Address - Fax:906-884-4794
Practice Address - Street 1:652 E CLOVERLAND DR STE 2
Practice Address - Street 2:
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-1422
Practice Address - Country:US
Practice Address - Phone:906-281-6476
Practice Address - Fax:906-884-4794
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010995901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical