Provider Demographics
NPI:1932145679
Name:HILLENMEYER, ELIZABETH H (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:H
Last Name:HILLENMEYER
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:PO BOX 2204
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47375-2204
Mailing Address - Country:US
Mailing Address - Phone:765-935-0008
Mailing Address - Fax:765-939-3159
Practice Address - Street 1:238 S 5TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5412
Practice Address - Country:US
Practice Address - Phone:765-935-0008
Practice Address - Fax:765-939-3159
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN340001321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical