Provider Demographics
NPI:1730808502
Name:HILL, DEAN ALBERT (LCSWA)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:ALBERT
Last Name:HILL
Suffix:
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 VIRGINIA CT
Mailing Address - Street 2:
Mailing Address - City:ZILLAH
Mailing Address - State:WA
Mailing Address - Zip Code:98953-9081
Mailing Address - Country:US
Mailing Address - Phone:509-619-6398
Mailing Address - Fax:
Practice Address - Street 1:502 VIRGINIA CT
Practice Address - Street 2:
Practice Address - City:ZILLAH
Practice Address - State:WA
Practice Address - Zip Code:98953-9081
Practice Address - Country:US
Practice Address - Phone:509-619-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC613196671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty