| Jennifer Hills Lcsw Pllc | |
|
600 22nd Ave Nw Ste U2 Minot ND 58703-0986 | |
| (701) 340-8982 | |
| (701) 839-9071 |
| Full Name | Jennifer Hills Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 22nd Ave Nw Ste U2, Minot, North Dakota |
| Authorized Official Name and Position | Jennifer Lynn Hills (OWNER) |
| Authorized Official Contact | 7013408982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Hills Lcsw Pllc 600 22nd Ave Nw Ste U2 Minot ND 58703-0986 Ph: (701) 340-8982 | Jennifer Hills Lcsw Pllc 600 22nd Ave Nw Ste U2 Minot ND 58703-0986 Ph: (701) 340-8982 |
| NPI Number | 1114636834 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 11/21/2022 |
| Certification Date | 11/21/2022 |
| Medicare PECOS PAC ID | 9638541774 |
|---|---|
| Medicare Enrollment ID | O20230217001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114636834 | NPI | - | NPPES |
| 1461307 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427457217 PECOS PAC ID: 4284911561 Enrollment ID: I20170516001094 |
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