Provider Demographics
NPI:1750861563
Name:WHITLOCK, HILLARY MADISON (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:MADISON
Last Name:WHITLOCK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 EDWARDS MILL RD
Mailing Address - Street 2:STE 112-#140
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612
Mailing Address - Country:US
Mailing Address - Phone:919-322-8862
Mailing Address - Fax:
Practice Address - Street 1:3401 COTTON MILL DR APT 303
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5589
Practice Address - Country:US
Practice Address - Phone:919-322-8862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0124811041C0700X
NCC0136361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical