Individual provider Active NPI

Callie Hildreth, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1134636749
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17298 Issued in MD
Practice address
43 E South St
Frederick, MD 21701-5617
Phone
(240) 367-9587
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 17298 MD Primary

Addresses

Primary practice location

43 E South St
Frederick, MD 21701-5617

Mailing address

43 E South St
Frederick, MD 21701-5617
Phone (240) 367-9587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17298MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Roots Wellness LLC Clinical Current Accepting new patients

Locations

43 E South St
Frederick, MD 21701
Phone (240) 367-9587

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1134636749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E SOUTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015617",
            "telephone_number": "240-367-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E SOUTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015617",
            "telephone_number": "240-367-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "CALLIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.