Individual provider Active NPI

Erika Juliet Hildebrandt, LCSW

  • Clinical Social Worker
  • Davis, CA
National Provider Identifier
1538427729
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008854 Issued in NC
Practice address
33100 County Road 31
Davis, CA 95616-9523
Phone
(305) 702-6007
Fax
(530) 702-6097
NPI assigned
Apr 25, 2012
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008854 NC Primary

Addresses

Primary practice location

33100 County Road 31
Davis, CA 95616-9523

Mailing address

33100 County Road 31
Davis, CA 95616-9523
Phone (305) 702-6007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erika.hildebrandt@ihs.gov Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C008854NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Cao Sacred Oaks Healing Center CurrentSince May 29, 2022 Accepting new patients

Locations

33100 County Road 31
Davis, CA 95616
Phone (530) 702-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1538427729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 COUNTY ROAD 31",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169523",
            "telephone_number": "305-702-6007",
            "fax_number": "210-539-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 COUNTY ROAD 31",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169523",
            "telephone_number": "305-702-6007",
            "fax_number": "530-702-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANDT",
        "first_name": "ERIKA",
        "middle_name": "JULIET",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erika.hildebrandt@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "government email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33100 County Road 31",
            "city": "Davis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956169523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.