Leann M Rider-Hildreth, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01155 Issued in IA

Practice address

Genesis Mental Health Assoc
1218 Central Ave
Fort Dodge, IA 50501

Phone

(514) 571-4422

Fax

(515) 576-6441

NPI assigned

May 2, 2006

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in IA

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Genesis Mental Health Associates LLC

  • Clinical Social Worker
  • Fort Dodge, IA
  • NPI 1588729131
  Medicare reassignment Authorized official
• Patty Hull, Lisw, PLLC

  • Community/Behavioral Health Agency
  • Fort Dodge, IA
  • NPI 1497106785
  NPD
• Psychiatry Lee and Associates PC

  dba Lee & Associates

  • Psychiatry Physician
  • Fort Dodge, IA
  • NPI 1891756912

  Clinical

  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1245298116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENESIS MENTAL HEALTH ASSOC",
            "address_2": "1218 CENTRAL AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-571-4422",
            "fax_number": "515-576-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENESIS MENTAL HEALTH ASSOC",
            "address_2": "1218 CENTRAL AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "514-571-4422",
            "fax_number": "515-576-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Kenyon Road",
            "address_2": "Physician's Office Bldg, West, Suite A",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "50501",
            "country_code": "US",
            "telephone_number": "515-574-6120",
            "fax_number": "515-574-6135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER-HILDRETH",
        "first_name": "LEANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40679",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leann@genesismha.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Info for treatment coordination",
            "address_1": "Genesis Mental Health Assoc",
            "address_2": "1218 Central Ave",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leann@genesismha.com",
            "affiliation": "N",
            "endpointDescription": "work email for treatment coordination",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails",
            "address_1": "Genesis Mental Health Assoc",
            "address_2": "1218 Central Ave",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "leann@genesismha.com",
            "affiliation": "N",
            "endpointDescription": "Hippaa compliant secure work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Releases",
            "address_1": "Genesis Mental Health Assoc",
            "address_2": "1218 Central Ave",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renal Center of Fort Dodge, LLC (Renal Center of Fort Dodge)
• Chad Troy Rennie, MD
• Anne-Kathrin Reuter, MS, RD, LD
• Kelli A Reuter, LMHC
• Rick Salocker DPM PC
• Riley Armstrong PLG & HTG, Inc
• Bonnie Riphagen, LMSW
• Rhiannon Rae Rippke-Koch, T-LMHC
• Rise Up, LLC
• Kimmesha Roberts

• Clinical Social Worker in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.