Provider Demographics
NPI:1023352135
Name:JONAS, HILLARY S (LICSW)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:S
Last Name:JONAS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:HILLARY
Other - Middle Name:S
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 WESTRIDGE AVE W
Mailing Address - Street 2:M2
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-8201
Mailing Address - Country:US
Mailing Address - Phone:253-228-4383
Mailing Address - Fax:
Practice Address - Street 1:9600 VETERANS DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW600951661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical