Individual
DIANE L HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
(253) 597-6888
Mailing address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
(253) 597-6888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 19878
CA
1041C0700X
Clinical Social Worker
Primary
LW61154048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11974973
CAQH
CA
01
—
BW607A
MEDICARE PART B
CA
01
—
LCS 19878
LCSW
CA
Enumeration date
02/13/2007
Last updated
09/23/2021
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