Provider Demographics
NPI:1780834408
Name:HILL, MARY F (LISW-S)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:HILL
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 FLORAL AVE
Mailing Address - Street 2:
Mailing Address - City:TERRACE PARK
Mailing Address - State:OH
Mailing Address - Zip Code:45174-1110
Mailing Address - Country:US
Mailing Address - Phone:513-503-8496
Mailing Address - Fax:
Practice Address - Street 1:434 SCOTT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2342
Practice Address - Country:US
Practice Address - Phone:859-291-1121
Practice Address - Fax:859-655-4882
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI1303373SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical