Active NPI
Rhonda Newberry Hildreth, LSCSW
- Clinical Social Worker
- Derby, KS
National Provider Identifier
1477566651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1944
- Practice address
- 425 N Baltimore Ave
Suite 1
Derby, KS 67037-1641 - Phone
- (316) 788-2200
- Fax
- (316) 788-1514
- NPI assigned
- Aug 15, 2006
- 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 | 1944 | KS | Primary |
Addresses
Primary practice location
425 N Baltimore Ave
Suite 1
Derby, KS 67037-1641
Mailing address
425 N Baltimore Ave
Suite 1
Derby, KS 67037-1641
Phone (316) 788-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1944 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Mental Health Counseling Center, Inc. | Past | Accepting new patients | |
| South Central Mental Health Counseling Center, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- El Dorado, KS
- NPI 1538155882
Clinical
-
- Community/Behavioral Health Agency
- El Dorado, KS
- NPI 1891561858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477566651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N BALTIMORE AVE",
"address_2": "SUITE 1",
"city": "DERBY",
"state": "KS",
"postal_code": "670371641",
"telephone_number": "316-788-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N BALTIMORE AVE",
"address_2": "SUITE 1",
"city": "DERBY",
"state": "KS",
"postal_code": "670371641",
"telephone_number": "316-788-2200",
"fax_number": "316-788-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDRETH",
"first_name": "RHONDA",
"middle_name": "NEWBERRY",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.