Provider Demographics
NPI:1568554376
Name:HILL, KRISTYN L (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KRISTYN
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3863 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:KENYON
Mailing Address - State:RI
Mailing Address - Zip Code:02836-1010
Mailing Address - Country:US
Mailing Address - Phone:401-596-8830
Mailing Address - Fax:401-596-8802
Practice Address - Street 1:21 CANAL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-1587
Practice Address - Country:US
Practice Address - Phone:401-596-8830
Practice Address - Fax:401-596-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW010881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical