Provider Demographics
NPI:1053608943
Name:HILL, DENISE MICHELE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MICHELE
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 LYNN DRIVE, UNIT #102
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5757
Mailing Address - Country:US
Mailing Address - Phone:907-947-4151
Mailing Address - Fax:
Practice Address - Street 1:4109 LYNN DR APT 102
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5757
Practice Address - Country:US
Practice Address - Phone:907-947-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical