Active NPI
Roxie Lee Hiett, LCSW
- Clinical Social Worker
- Victorville, CA
National Provider Identifier
1447624226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28239
- Practice address
- 16248 Victor St
Victorville, CA 92395-3934 - Phone
- (760) 243-7151
- Fax
- (760) 952-1432
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28239 | CA | Primary |
Addresses
Primary practice location
16248 Victor St
Victorville, CA 92395-3934
Mailing address
16248 Victor St
Victorville, CA 92395-3934
Phone (760) 243-7151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28239 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Psychological Services | Clinical | Current | Accepting new patients |
Locations
8253 White Oak Ave
Rch Cucamonga, CA 91730
Phone (909) 987-1997
14390 Park Ave
Victorville, CA 92392
Phone (442) 327-9311
15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1447624226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16248 VICTOR ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953934",
"telephone_number": "760-243-7151",
"fax_number": "760-952-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16248 VICTOR ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953934",
"telephone_number": "760-243-7151",
"fax_number": "760-952-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIETT",
"first_name": "ROXIE",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.