Provider Demographics
NPI:1174776249
Name:HILL JOHNSON, CHRISTINE LANI (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LANI
Last Name:HILL JOHNSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:LANI
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8949 RESEDA BLVD STE 221G-112
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3916
Mailing Address - Country:US
Mailing Address - Phone:747-224-0215
Mailing Address - Fax:
Practice Address - Street 1:8949 RESEDA BLVD STE 221
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5813
Practice Address - Country:US
Practice Address - Phone:747-224-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA249181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical