Provider Demographics
NPI:1962421875
Name:HILL, SARA L (LCSW, CSAC)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 893938
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-0938
Mailing Address - Country:US
Mailing Address - Phone:808-655-5080
Mailing Address - Fax:808-655-6934
Practice Address - Street 1:BLDG 556 HEARD STREET
Practice Address - Street 2:ASACS OFFICE
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96857
Practice Address - Country:US
Practice Address - Phone:808-655-5080
Practice Address - Fax:808-655-6934
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HICSAC-1020-00101YA0400X
HILCSW 31281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical