Healthcare Provider Details

I. General information

NPI: 1386270593
Provider Name (Legal Business Name): ALEXIS MARQUARDT HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 HARDING ST STE 210
CARLSBAD CA
92008-1818
US

IV. Provider business mailing address

4225 OCEANSIDE BLVD STE H233
OCEANSIDE CA
92056-3472
US

V. Phone/Fax

Practice location:
  • Phone: 813-999-0017
  • Fax:
Mailing address:
  • Phone: 813-999-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW128836
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: