Healthcare Provider Details

I. General information

NPI: 1205595352
Provider Name (Legal Business Name): ADAM HILLER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 FORT EVANS RD SE APT D
LEESBURG VA
20175-4136
US

IV. Provider business mailing address

121 FORT EVANS RD SE APT D
LEESBURG VA
20175-4136
US

V. Phone/Fax

Practice location:
  • Phone: 716-598-1589
  • Fax:
Mailing address:
  • Phone: 202-941-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016989
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: