Healthcare Provider Details

I. General information

NPI: 1679316608
Provider Name (Legal Business Name): SARAH HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 DAKOTA AVE STE C
WAHPETON ND
58075-4333
US

IV. Provider business mailing address

6046 14TH ST S
FARGO ND
58104-7226
US

V. Phone/Fax

Practice location:
  • Phone: 701-404-0997
  • Fax: 701-566-8876
Mailing address:
  • Phone: 701-404-0997
  • Fax: 701-566-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4595
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4595
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: