Individual provider Active NPI

Patricia Ann Hill, LICSW

  • Social Worker
  • Maple Grove, MN
National Provider Identifier
1881657229
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15021 Issued in MN
Practice address
7242 Forestview LN N
The Counseling Shop
Maple Grove, MN 55369-5628
Phone
(763) 400-7075
Fax
(763) 400-7078
NPI assigned
Apr 7, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15021 MN Primary

Addresses

Primary practice location

7242 Forestview LN N
The Counseling Shop
Maple Grove, MN 55369-5628

Mailing address

7242 Forestview LN N
The Counseling Shop
Maple Grove, MN 55369-5628
Phone (763) 400-7075

Other names 1

  • Patricia Ann Reichert Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000977 MN Practitioner - Clinical Social Worker 6507894391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11224 86TH Ave N
Maple Grove, MN 55369-4510
Phone (763) 400-7075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mesm, LLC CurrentSince Dec 31, 2018 Accepting new patients
Patty Hill, Inc CurrentSince Nov 1, 2011 Accepting new patients
Maple Grove Counseling Center PA Past Accepting new patients

Locations

11224 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7075

7242 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 229-4933

Organizations & group practices 3

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1881657229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7242 FORESTVIEW LN N",
            "address_2": "THE COUNSELING SHOP",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695628",
            "telephone_number": "763-400-7075",
            "fax_number": "763-400-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 FORESTVIEW LN N",
            "address_2": "THE COUNSELING SHOP",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695628",
            "telephone_number": "763-400-7075",
            "fax_number": "763-400-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "REICHERT",
            "middle_name": "ANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.