Ursula Clare Hildebrandt, PHD, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61090499 Issued in WA

Practice address

225 14TH Ave E
Seattle, WA 98112-5275

Phone

(206) 409-2931

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 29, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Cooper House PLLC

  • Counselor
  • Seattle, WA
  • NPI 1033538236
  NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1316405160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154332",
            "telephone_number": "206-409-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 14TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125275",
            "telephone_number": "206-409-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7502 15th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981154332",
            "country_code": "US",
            "telephone_number": "206-409-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "URSULA",
        "middle_name": "CLARE",
        "credential": "PHD, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61090499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie S Hild
• Alanna M Hildebrand, BSC PT
• Caitlin Hildebrand, M.D.
• Veronica Hildebrand, L.M.P.
• Josee Hildebrandt
• Cara Elizabeth Hilderbrand, RN, SANE
• Carla Jo Hilderbrand
• Emily Anne Hilderman, DNP, ANP-BC
• Marian L Hilfrink, LI CSW
• Hill Chiropractic, Inc.

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.