Provider Demographics
NPI:1770633265
Name:RAHILL, MAIA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MAIA
Middle Name:M
Last Name:RAHILL
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 1:467 MAHOGANY CT
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2759
Mailing Address - Country:US
Mailing Address - Phone:201-529-1201
Mailing Address - Fax:201-529-1331
Practice Address - Street 1:467 MAHOGANY CT
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-2759
Practice Address - Country:US
Practice Address - Phone:201-529-1201
Practice Address - Fax:201-529-1331
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC002021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical