Provider Demographics
NPI:1174698815
Name:HILLMAN, KAREN M (LCSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAMILL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1847
Mailing Address - Country:US
Mailing Address - Phone:410-297-7713
Mailing Address - Fax:
Practice Address - Street 1:2 HAMILL RD STE 120
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1847
Practice Address - Country:US
Practice Address - Phone:410-297-7713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD164831041C0700X
CALCS225461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ03284ZMedicare ID - Type Unspecified
Q49005Medicare UPIN