Provider Demographics
NPI:1639833015
Name:HILL, ANGELICA PATRICIA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:PATRICIA
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8902 102ND RD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2229
Mailing Address - Country:US
Mailing Address - Phone:347-531-4227
Mailing Address - Fax:
Practice Address - Street 1:8902 102ND RD
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-2229
Practice Address - Country:US
Practice Address - Phone:347-531-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114462104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker