Provider Demographics
NPI:1487754263
Name:HILL, HOWARD EDWARD (LCSW)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:EDWARD
Last Name:HILL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CAMINO RANCHITOS
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-9306
Mailing Address - Country:US
Mailing Address - Phone:575-491-6657
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST BLDG 17
Practice Address - Street 2:HOLLOMAN AFB
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88330
Practice Address - Country:US
Practice Address - Phone:505-572-2189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-070221041C0700X
CO9895551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical