Provider Demographics
NPI:1255710950
Name:HILLYER, TIMOTHY GLEN (MSW, LCSW, LISW)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:GLEN
Last Name:HILLYER
Suffix:
Gender:M
Credentials:MSW, LCSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CYPRESS WAY E
Mailing Address - Street 2:APT C
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-9288
Mailing Address - Country:US
Mailing Address - Phone:309-779-8397
Mailing Address - Fax:
Practice Address - Street 1:1465 41ST ST STE 6
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-2579
Practice Address - Country:US
Practice Address - Phone:309-232-8669
Practice Address - Fax:309-326-4521
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW177341041C0700X
IL150013100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical