Provider Demographics
NPI:1871823138
Name:ROUSE, HILLARY IRENE (LISW, MSW)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:IRENE
Last Name:ROUSE
Suffix:
Gender:F
Credentials:LISW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 ADVENTURE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1072
Mailing Address - Country:US
Mailing Address - Phone:614-323-7781
Mailing Address - Fax:
Practice Address - Street 1:1033 HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4026
Practice Address - Country:US
Practice Address - Phone:614-310-0902
Practice Address - Fax:614-310-0905
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.09003521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical