Provider Demographics
NPI:1447945209
Name:MCHUGH, JILL LAWSON (LISW-CP)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:LAWSON
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 MARTIN LUTHER KING BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625
Mailing Address - Country:US
Mailing Address - Phone:864-540-8184
Mailing Address - Fax:864-540-8213
Practice Address - Street 1:300 JOHN STREET
Practice Address - Street 2:STE B
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651
Practice Address - Country:US
Practice Address - Phone:864-479-0280
Practice Address - Fax:864-655-7300
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLISWCP146551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical