MEDICARE: MR. TOM LOUIS HILL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	28229	CA

General Provider Information

NPI Number	:	1477641330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TOM LOUIS HILL LCSW

Provider Business Mailing Address
First Line	:	PO BOX 2836
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95609-2836
Country	:	US
Telephone Number	:	916-338-1001
Fax Number	:	916-338-1044

Provider Business Practice Location Address
First Line	:	3225 JULLIARD DR APT 344
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-3537
Country	:	US
Telephone Number	:	916-581-1728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/18/2021

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