Provider Demographics
NPI:1265539274
Name:HILLEN, BOBBI LYNNE (LCSW)
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:LYNNE
Last Name:HILLEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:LYNNE
Other - Last Name:ARBOLEDA-HILLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:717 E 152ND ST
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5184
Mailing Address - Country:US
Mailing Address - Phone:952-892-0141
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR # 112N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-629-7534
Practice Address - Fax:612-629-7702
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND02611104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker