Active NPI
Monica Hedrick, LCSW, BCBA
- Clinical Social Worker
- Richfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33944
- Practice address
- 2400 W 64TH St
Richfield, MN 55423-1001 - Phone
- (612) 767-7550
- NPI assigned
- Jan 29, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 9055 | FL | |
| Behavior Analyst | 103K00000X | 1-04-1761 | FL | |
| Clinical Social Worker | 1041C0700X | Q1-0012225 | DE | |
| Clinical Social Worker | 1041C0700X | 33944 | MN | Primary |
Addresses
Primary practice location
2400 W 64TH St
Richfield, MN 55423-1001
Mailing address
1802 N Alafaya TRL
Suite 158
Orlando, FL 32826-4716
Phone (407) 697-6147
Other practice location 1
1802 N Alafaya Trl
Suite 158
Orlando, FL 32826-4716
Phone (407) 697-6147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 W 64TH St
Richfield, MN 55423-1001
Phone (612) 861-1688
9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Phone (612) 767-7222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 9055 | FL | MD | Clinical Social Worker |
| 33944 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Child and Family Center | Current | Accepting new patients |
Locations
9120 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 231-2590
2400 W 64th St
Richfield, MN 55423
Phone (612) 767-5166
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1497086581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 N ALAFAYA TRL",
"address_2": "SUITE 158",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264716",
"telephone_number": "407-697-6147",
"fax_number": "888-661-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W 64TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554231001",
"telephone_number": "612-767-7550"
}
],
"practiceLocations": [
{
"address_1": "1802 N Alafaya Trl",
"address_2": "Suite 158",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328264716",
"country_code": "US",
"telephone_number": "407-697-6147",
"fax_number": "888-661-4505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDRICK",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "LCSW, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 9055",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-04-1761",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0012225",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "33944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.