Provider Demographics
NPI:1033950985
Name:HILL, TAMI (LMSW)
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:DAWN
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1579 W RIVERSTONE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-1013
Mailing Address - Country:US
Mailing Address - Phone:208-435-0788
Mailing Address - Fax:
Practice Address - Street 1:1579 W RIVERSTONE DR STE 101
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-1013
Practice Address - Country:US
Practice Address - Phone:208-435-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-45210104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker