Provider Demographics
NPI:1528172574
Name:HILL, NYRA ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:NYRA
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N DUKE ST
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2010
Mailing Address - Country:US
Mailing Address - Phone:919-286-3453
Mailing Address - Fax:919-286-7033
Practice Address - Street 1:115 N DUKE ST
Practice Address - Street 2:SUITE 1-B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2010
Practice Address - Country:US
Practice Address - Phone:919-286-3453
Practice Address - Fax:919-286-7033
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0001981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical