Provider Demographics
NPI:1699086264
Name:HILT, DAWN (CADC)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:HILT
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:MALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASAC
Mailing Address - Street 1:315 OLD LANDING RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-1210
Mailing Address - Country:US
Mailing Address - Phone:302-947-1920
Mailing Address - Fax:
Practice Address - Street 1:315 OLD LANDING RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966
Practice Address - Country:US
Practice Address - Phone:302-947-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
DE1804101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1804Medicaid