Provider Demographics
NPI:1205903887
Name:HILT, JENNIFER FALCONI (LCSW 26125)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:FALCONI
Last Name:HILT
Suffix:
Gender:F
Credentials:LCSW 26125
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 4316
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92263-4316
Mailing Address - Country:US
Mailing Address - Phone:760-323-5242
Mailing Address - Fax:
Practice Address - Street 1:2150 E TAHQUITZ CANYON WAY
Practice Address - Street 2:STE 3
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7045
Practice Address - Country:US
Practice Address - Phone:760-333-9211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker