Provider Demographics
NPI:1720732266
Name:HILL, ERIN BROOKE ROOP (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BROOKE ROOP
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3496
Mailing Address - Country:US
Mailing Address - Phone:443-521-5979
Mailing Address - Fax:
Practice Address - Street 1:38 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21631
Practice Address - Country:US
Practice Address - Phone:410-443-8423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28558104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD523411500Medicaid