Provider Demographics
NPI:1609942770
Name:HILL, MEREDITH L (LCSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FIELD ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6661
Mailing Address - Country:US
Mailing Address - Phone:207-322-4048
Mailing Address - Fax:207-338-0455
Practice Address - Street 1:9 FIELD ST
Practice Address - Street 2:SUITE 316
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6661
Practice Address - Country:US
Practice Address - Phone:207-322-4048
Practice Address - Fax:207-338-0455
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC111831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME104000000Medicaid