Provider Demographics
NPI:1477231561
Name:HILLEBRECHT, PAMELA J (LISW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:HILLEBRECHT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9066 RANCH DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-3140
Mailing Address - Country:US
Mailing Address - Phone:216-394-9489
Mailing Address - Fax:
Practice Address - Street 1:9066 RANCH DR
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-3140
Practice Address - Country:US
Practice Address - Phone:216-394-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22038831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical