Provider Demographics
NPI:1669857652
Name:HILL, TERRI ANN (LCSW-C, SAP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW-C, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 W KINGSWAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4927
Mailing Address - Country:US
Mailing Address - Phone:443-865-0607
Mailing Address - Fax:
Practice Address - Street 1:754 W KINGSWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21220-4927
Practice Address - Country:US
Practice Address - Phone:443-865-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD168521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical