Active NPI
Paul F. Hillebert
- Clinical Social Worker
- Hagerstown, MD
National Provider Identifier
1841462090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12722
- Legal business name
- PAUL F. HILLEBERT
- Practice address
- 224 Montclair CT
Hagerstown, MD 21742-4501 - Phone
- (240) 469-9991
- NPI assigned
- Mar 27, 2008
- Last updated
- Feb 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul F Hillebert, LCSW-C, LCADC
- Title
- Therapist
- Phone
- (240) 469-9991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA418 | MD | |
| Clinical Social Worker | 1041C0700X | 12722 | MD | Primary |
Addresses
Primary practice location
224 Montclair CT
Hagerstown, MD 21742-4501
Mailing address
55 S Potomac St Apt 301
Hagerstown, MD 21740-5537
Phone (240) 469-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442810200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Hagerstown, MD
- NPI 1104135532
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517961600000",
"number": "1841462090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S POTOMAC ST APT 301",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405537",
"telephone_number": "240-469-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 MONTCLAIR CT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217424501",
"telephone_number": "240-469-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL F. HILLEBERT",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2018-02-07",
"status": "A",
"authorized_official_last_name": "HILLEBERT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "240-469-9991",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-C, LCADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA418",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442810200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.