Provider Demographics
NPI:1740338961
Name:HILLEBRAND, MARGARET M (MSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:HILLEBRAND
Suffix:
Gender:F
Credentials:MSW
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 231825
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-1825
Mailing Address - Country:US
Mailing Address - Phone:907-346-5561
Mailing Address - Fax:907-346-1016
Practice Address - Street 1:4830 ZENITH ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3752
Practice Address - Country:US
Practice Address - Phone:907-346-5561
Practice Address - Fax:907-346-1016
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCM4830Medicaid