Provider Demographics
NPI:1700850757
Name:HILL, DOROTHY MARIAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:MARIAN
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 1:120 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2026
Mailing Address - Country:US
Mailing Address - Phone:845-565-8571
Mailing Address - Fax:845-562-8926
Practice Address - Street 1:120 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2026
Practice Address - Country:US
Practice Address - Phone:845-565-8571
Practice Address - Fax:845-562-8926
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019394104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYY5110OtherOXFORD
NY0083092003OtherGHI
NYY5110OtherOXFORD