Active NPI
Jacqueline F Hillesland, LISW-CP
- Clinical Social Worker
- Augusta, GA
National Provider Identifier
1598827438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006412
- Practice address
- 300 W Hospital Rd
Eisenhower Army Medical Center
Augusta, GA 30905-5741 - Phone
- (706) 787-2720
- Fax
- (706) 787-8176
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006412 | SC | Primary |
Addresses
Primary practice location
300 W Hospital Rd
Eisenhower Army Medical Center
Augusta, GA 30905-5741
Mailing address
300 W Hospital Rd
Eisenhower Army Medical Center
Augusta, GA 30905-5741
Phone (706) 787-2720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006412 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598827438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HOSPITAL RD",
"address_2": "EISENHOWER ARMY MEDICAL CENTER",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309055741",
"telephone_number": "706-787-2720",
"fax_number": "706-787-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HOSPITAL RD",
"address_2": "EISENHOWER ARMY MEDICAL CENTER",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309055741",
"telephone_number": "706-787-2720",
"fax_number": "706-787-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLESLAND",
"first_name": "JACQUELINE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "006412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.