Provider Demographics
NPI:1467862623
Name:LORETTA HILL LCSW INC.
Entity Type:Organization
Organization Name:LORETTA HILL LCSW INC.
Other - Org Name:LORETTA HILL, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-926-4009
Mailing Address - Street 1:1651 THIBODEAUX AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-8271
Mailing Address - Country:US
Mailing Address - Phone:225-926-4009
Mailing Address - Fax:225-926-4069
Practice Address - Street 1:1651 THIBODEAUX AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8271
Practice Address - Country:US
Practice Address - Phone:225-926-4009
Practice Address - Fax:225-926-4069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA433767219OtherVERITY
LA175926OtherMHNET
LA377800OtherVALUE OPTIONS
LA1417227919OtherBLUE CROSS BLUE SHIELD