Provider Demographics
NPI:1588900021
Name:MAROSCIA, JILL ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:ELIZABETH
Last Name:MAROSCIA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 E CAMELBACK RD APT 321
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4475
Mailing Address - Country:US
Mailing Address - Phone:815-826-0036
Mailing Address - Fax:
Practice Address - Street 1:1200 12TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2712
Practice Address - Country:US
Practice Address - Phone:206-326-2400
Practice Address - Fax:206-621-4434
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8504-C1041C0700X
AZ188291041C0700X
WALW61565087104100000X
AZLMSW13646104100000X
IL1490207161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical