Shelley Lynn Hill, LCSW
Individual provider Active NPI Clinical Social Worker · Energy, IL
NPI 1093078099 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1093078099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.009.006 (IL)
- Practice address
- 202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933 - Phone
- (618) 988-9843
- Fax
- (618) 942-8640
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009.006 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Psychiatry Inc | Past | Accepting new patients | |
| Wolz Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009.006 | IL | Yes |
Addresses
Primary practice location
202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933
Mailing address
P.O. Box 100
Goya Health, LTD.
Energy, IL 62933
Phone (618) 988-9843
Other providers in Energy, IL
- Crescent Development Group, Inc.
- Donald G Guebert
- Harivansh PLLC
- Helia Healthcare of Energy
- Helia Healthcare of Energy, LLC
- Holistic Psychiatry Inc
- Illinois Health Care Clinic, P.C.
- Jani R Jones
- Elaine Anthony Ketring
- Elisha Nicole Lenard
All providers in Energy, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.