Individual provider Active NPI

Carla Jane Hill, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1063841849
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23946 Issued in MN
Practice address
1619 Dayton Ave Ste 303
Saint Paul, MN 55104-6276
Phone
(651) 605-6020
Fax
(651) 323-2687
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23946 MN Primary

Addresses

Primary practice location

1619 Dayton Ave Ste 303
Saint Paul, MN 55104-6276

Mailing address

1619 Dayton Ave Ste 303
Saint Paul, MN 55104-6276
Phone (651) 605-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20180315000333 MN Practitioner - Clinical Social Worker 9931461779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centered PracticeGroup PAC ID 8527232198, 7 clinicians

Practice addresses (Care Compare)

401 Division St S
Suite C
Northfield, MN 55057-2096
Phone 50764972941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Practice CurrentSince Feb 1, 2018 Accepting new patients

Locations

401 Division St S
Ste C
Northfield, MN 55057
Phone (507) 645-0444

1619 Dayton Ave
Ste 303
Saint Paul, MN 55104
Phone (651) 605-6020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1063841849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046276",
            "telephone_number": "651-605-6020",
            "fax_number": "651-323-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046276",
            "telephone_number": "651-605-6020",
            "fax_number": "651-323-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CARLA",
        "middle_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.