Hillary M Sunderland, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1792 Issued in CO

Practice address

330 Fiedler Ave Ste 207
Dillon, CO 80435-6930

Phone

(970) 200-8563

NPI assigned

May 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Hillary M Baker Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Psychotherapy, PLLC

  • Clinical Social Worker
  • Dillon, CO
  • NPI 1811664022

  Clinical, CO

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1063705168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 MONTEZUMA RD",
            "city": "MONTEZUMA",
            "state": "CO",
            "postal_code": "804357621",
            "telephone_number": "303-704-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FIEDLER AVE STE 207",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804356930",
            "telephone_number": "970-200-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "HILLARY",
        "middle_name": "M",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "482",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "BAKER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summit Dental, PLLC
• Summit O2 & Health Care, Inc
• Summit Orthopedic Surgery Center, LLC
• Summit Psychotherapy, PLLC
• Summit Urgent Care at Dillon, LLC
• Brian Tarola, DC
• Ten Mile Health & Wellness LLC
• Therese White MSW LCSW Therapeutic Services LLC
• Tree of Life Counseling, LLC
• Eric Michael Turner, BS, CAT, CAMS-I

• Clinical Social Worker in Dillon, CO
• Providers in Dillon, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.