Active NPI
Brice G Hildreth, LCSW
- Clinical Social Worker
- Turlock, CA
National Provider Identifier
1932653078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115168
- Practice address
- 2101 Aspenwood Dr
Turlock, CA 95380-6563 - Phone
- (209) 341-1824
- NPI assigned
- Aug 5, 2016
- Last updated
- May 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW93324 | CA | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.