Provider Demographics
NPI:1720201650
Name:HILL, SANDRA L (RN, MSW,LCSW, LSW)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:RN, MSW,LCSW, LSW
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:L CLAIRE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, MSW, LCSW, LSW
Mailing Address - Street 1:PO BOX 242331
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-2331
Mailing Address - Country:US
Mailing Address - Phone:907-250-4416
Mailing Address - Fax:
Practice Address - Street 1:800 E DIMOND BLVD
Practice Address - Street 2:SUITE 625
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2039
Practice Address - Country:US
Practice Address - Phone:907-250-4416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK01971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical