Individual provider Active NPI

Mary Pauline Hildreth

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1144472317
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5510-C Issued in NV
Practice address
6771 W Charleston Blvd
Suite D
Las Vegas, NV 89146-9015
Phone
(702) 460-4761
Fax
(702) 586-9832
NPI assigned
Oct 19, 2008
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 5510-C NV Primary

Addresses

Primary practice location

6771 W Charleston Blvd
Suite D
Las Vegas, NV 89146-9015

Mailing address

6771 W Charleston Blvd
Suite D
Las Vegas, NV 89146-9015
Phone (702) 460-4761

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
5510-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New View Counseling Inc Mary Pauline Hildreth LCSW a Pro. Corp. Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1144472317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 W CHARLESTON BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469015",
            "telephone_number": "702-460-4761",
            "fax_number": "702-586-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 W CHARLESTON BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469015",
            "telephone_number": "702-460-4761",
            "fax_number": "702-586-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "MARY",
        "middle_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-19",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5510-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.