Provider Demographics
NPI:1619200862
Name:HILL, NATALIE LOUISE (LICSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LOUISE
Last Name:HILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 KINGMAN AVE
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-2323
Mailing Address - Country:US
Mailing Address - Phone:781-581-4400
Mailing Address - Fax:
Practice Address - Street 1:233 HARVARD ST
Practice Address - Street 2:SUITE 36
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5069
Practice Address - Country:US
Practice Address - Phone:617-501-5067
Practice Address - Fax:617-232-4145
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1164171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical