Provider Demographics
NPI:1477641330
Name:HILL, TOM LOUIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:LOUIS
Last Name:HILL
Suffix:
Gender:M
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:PO BOX 2836
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95609-2836
Mailing Address - Country:US
Mailing Address - Phone:916-338-1001
Mailing Address - Fax:916-338-1044
Practice Address - Street 1:3225 JULLIARD DR APT 344
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3537
Practice Address - Country:US
Practice Address - Phone:916-581-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical