Provider Demographics
NPI:1689469207
Name:HILL, MILDRED PUGH (LCSW-A)
Entity type:Individual
Prefix:
First Name:MILDRED
Middle Name:PUGH
Last Name:HILL
Suffix:
Gender:
Credentials:LCSW-A
Other - Prefix:
Other - First Name:MILDRED
Other - Middle Name:
Other - Last Name:PUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1309 TATUM DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4314
Mailing Address - Country:US
Mailing Address - Phone:252-672-8742
Mailing Address - Fax:252-638-3742
Practice Address - Street 1:1309 TATUM DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4314
Practice Address - Country:US
Practice Address - Phone:252-672-8742
Practice Address - Fax:252-638-3742
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0219451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical