Provider Demographics
NPI:1205304771
Name:JILL SANER LISW LLC
Entity type:Organization
Organization Name:JILL SANER LISW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:304-280-2105
Mailing Address - Street 1:47863 RESERVOIR ROAD
Mailing Address - Street 2:
Mailing Address - City:ST. CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8479
Mailing Address - Country:US
Mailing Address - Phone:304-280-2105
Mailing Address - Fax:
Practice Address - Street 1:47863 RESERVOIR ROAD
Practice Address - Street 2:
Practice Address - City:ST. CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8479
Practice Address - Country:US
Practice Address - Phone:740-695-3630
Practice Address - Fax:740-695-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty