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Contact Information

LEANN M RIDER HILDRETH, LISW
GENESIS MENTAL HEALTH ASSOC
1218 CENTRAL AVE
FORT DODGE, IA50501
 Phone: 514-571-4422
 Fax: 515-576-6441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LEANN M RIDER HILDRETH · (Female)

NPI # 1245298116
Status Active
Credentials LISW (Licensed Independent Social Worker)
Entity Individual
Enumeration date 05/02/2006
Last updated 02/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 01155
  • IA Medicaid 0426189
  • IA Other 40679 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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