Provider Demographics
NPI:1396187209
Name:HILL, KRISTINA DAWN (LSCSW)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:DAWN
Last Name:HILL
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5229 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2329
Mailing Address - Country:US
Mailing Address - Phone:785-581-1801
Mailing Address - Fax:785-581-5541
Practice Address - Street 1:5229 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2329
Practice Address - Country:US
Practice Address - Phone:785-581-1801
Practice Address - Fax:785-581-5541
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS83991041C0700X
KS057601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical