Provider Demographics
NPI:1487789814
Name:HILL, LINDA CAROLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROLE
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:CAROLE
Other - Last Name:EBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6323 MEMORIAL HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4509
Mailing Address - Country:US
Mailing Address - Phone:813-891-9474
Mailing Address - Fax:813-891-9058
Practice Address - Street 1:6323 MEMORIAL HWY
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4509
Practice Address - Country:US
Practice Address - Phone:813-891-9474
Practice Address - Fax:813-891-9058
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW68821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z101ROtherBCBS