Provider Demographics
NPI:1982285201
Name:HILL, JASHAWN DEBORAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JASHAWN
Middle Name:DEBORAH
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JASHAWN
Other - Middle Name:
Other - Last Name:CANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7517 S WOLCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-5206
Mailing Address - Country:US
Mailing Address - Phone:773-430-7221
Mailing Address - Fax:
Practice Address - Street 1:7517 S WOLCOTT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5206
Practice Address - Country:US
Practice Address - Phone:773-430-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0207751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical