Individual provider Active NPI

Brice G Hildreth, LCSW

  • Clinical Social Worker
  • Turlock, CA
National Provider Identifier
1932653078
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115168 Issued in CA
Practice address
2101 Aspenwood Dr
Turlock, CA 95380-6563
Phone
(209) 341-1824
NPI assigned
Aug 5, 2016
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X ASW93324 CA
Clinical Social Worker 1041C0700X 115168 CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2101 Aspenwood Dr
Turlock, CA 95380-6563

Mailing address

2101 Aspenwood Dr
Turlock, CA 95380-6563
Phone (209) 341-1824

Other practice location 1

420 E Canal Dr
Turlock, CA 95380-3936
Phone (209) 576-1750

Other practice location 2

1620 Cummins Dr
Modesto, CA 95358-6400
Phone (209) 576-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW93324CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1932653078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ASPENWOOD DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953806563",
            "telephone_number": "209-341-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ASPENWOOD DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953806563",
            "telephone_number": "209-341-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Canal Dr",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953803936",
            "country_code": "US",
            "telephone_number": "209-576-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Cummins Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953586400",
            "country_code": "US",
            "telephone_number": "209-576-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "BRICE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "ASW93324",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115168",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.