Provider Demographics
NPI:1689889651
Name:HILL, FAYE G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FAYE
Middle Name:G
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 1:253 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1413
Mailing Address - Country:US
Mailing Address - Phone:201-387-1491
Mailing Address - Fax:201-439-1722
Practice Address - Street 1:253 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1413
Practice Address - Country:US
Practice Address - Phone:201-387-1491
Practice Address - Fax:201-439-1722
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001640001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical