MEDICARE: TANYA HILL MSW, 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	LCSW-5227	HI
2	1041C0700X	Clinical Social Worker	94708	CA
3	1041C0700X	Clinical Social Worker	149.028360	IL
4	1041C0700X	Clinical Social Worker	SW 7999	FL

General Provider Information

NPI Number	:	1710939152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA HILL MSW, LCSW

Provider Business Mailing Address
First Line	:	1708 LOUISIANA AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5442
Country	:	US
Telephone Number	:	850-872-6900
Fax Number	:	850-872-6900

Provider Business Practice Location Address
First Line	:	1708 LOUISIANA AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5442
Country	:	US
Telephone Number	:	850-872-6900
Fax Number	:	850-872-6900

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/02/2025

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