MEDICARE: ALAN 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	44SC05755100	NJ

General Provider Information

NPI Number	:	1619348877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN HILL LCSW

Provider Business Mailing Address
First Line	:	43 BROOKWOOD DR
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-1904
Country	:	US
Telephone Number	:	862-216-8764
Fax Number	:

Provider Business Practice Location Address
First Line	:	18-20 LACKAWANNA PLZ STE 300
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-3642
Country	:	US
Telephone Number	:	862-216-8764
Fax Number	:

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

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/18/2021

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Directions to “ ALAN HILL LCSW” Practice Location

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