Healthcare Provider Details

I. General information

NPI: 1912848466
Provider Name (Legal Business Name): KAREN ANNE HILL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REN HILL LMSW

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BURHAM DR
SMITHTOWN NY
11787-1203
US

IV. Provider business mailing address

6 BURHAM DR
SMITHTOWN NY
11787-1203
US

V. Phone/Fax

Practice location:
  • Phone: 631-213-1748
  • Fax:
Mailing address:
  • Phone: 631-213-1748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number125654-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: