Provider Demographics
NPI:1285748087
Name:HILL, BLANCHE OLIVIA (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:BLANCHE
Middle Name:OLIVIA
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-1454
Mailing Address - Country:US
Mailing Address - Phone:607-865-6522
Mailing Address - Fax:607-865-7424
Practice Address - Street 1:1 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1454
Practice Address - Country:US
Practice Address - Phone:607-865-6522
Practice Address - Fax:607-865-7424
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33180OtherLCSW-R