Provider Demographics
NPI:1942876024
Name:HILL, CYNTHIA (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CLARK ST UNIT 417
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-1861
Mailing Address - Country:US
Mailing Address - Phone:601-601-6622
Mailing Address - Fax:
Practice Address - Street 1:71 CLARK ST UNIT 417
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-1861
Practice Address - Country:US
Practice Address - Phone:601-601-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055304-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker