Provider Demographics
NPI:1528007283
Name:HILL, BRIEN F (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIEN
Middle Name:F
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 1:1401 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-3313
Mailing Address - Country:US
Mailing Address - Phone:859-655-6100
Mailing Address - Fax:859-655-6148
Practice Address - Street 1:103 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:KY
Practice Address - Zip Code:41073-1393
Practice Address - Country:US
Practice Address - Phone:859-655-6100
Practice Address - Fax:859-655-6186
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0041101YA0400X
OH981223101YA0400X
OHE892101YM0800X
KYKY-0603101YM0800X
OHI-0000208104100000X
KY8761041C0700X
KYKY-8761041C0700X
KYKY-0027106H00000X
OHF-0000049106H00000X
KY08761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY105591OtherMFT
KY118216OtherCADC
KY104571OtherLPCC
KY167038OtherLCADC
KY82008764Medicaid
KY104571OtherLPCC
OHSW28512Medicare PIN
KY82008764Medicaid