Healthcare Provider Details

I. General information

NPI: 1386214773
Provider Name (Legal Business Name): SHARONICA HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 HIGHWAY 39 N STE H
MERIDIAN MS
39301-2725
US

IV. Provider business mailing address

1821 HIGHWAY 39 N STE H
MERIDIAN MS
39301-2725
US

V. Phone/Fax

Practice location:
  • Phone: 601-274-2653
  • Fax:
Mailing address:
  • Phone: 601-274-2653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC8623
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6126C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: