Provider Demographics
NPI:1740307289
Name:HILL, ANTHONY J (PHD, LICSW, ACSW)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:HILL
Suffix:
Gender:M
Credentials:PHD, LICSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N DUPONT HWY
Mailing Address - Street 2:DELAWARE STATE UNIVERSITY
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-2202
Mailing Address - Country:US
Mailing Address - Phone:302-857-6790
Mailing Address - Fax:
Practice Address - Street 1:1200 N DUPONT HWY
Practice Address - Street 2:DELAWARE STATE UNIVERSITY
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2202
Practice Address - Country:US
Practice Address - Phone:302-857-6790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500783291041C0700X
DEQ1-00009341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical