MRS. NICOLE L HILDEBRANDT (NPI# 1578606737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578606737 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE L HILDEBRANDT |
| Other Name | NICOLE L GOUGEON |
| Credential | MSSW LCSW |
| Practice Address |
1969 W Hart Rd Beloit WI 53511 |
| Mailing Address |
733 Waveland Rd Janesville WI 53548 |
| Practice Telephone | 6083645686 |
| Practice Fax Number | 6083635756 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7298123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1969 W HART RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
| 1154939924 | Danielle Suzanne Rodriguez | Registered Nurse | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-07-17 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1821628082 | Lauren Renee Mueth | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2020-01-16 |
| 1477028421 | Chad Schroeder | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-10-05 |
| 1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
| 1316445588 | Doris Vargas | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-23 |
| 1356859508 | Sheila Evanoff | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-22 |
| 1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
| 1356792964 | Nicole Lynn Bengtson | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528571205 | Nancy Ree Lamon | Social Worker | 1325 E Broad St, Beloit, WI 53511-6484 | 2017-11-16 |
| 1275937203 | Matthew Kindler | Social Worker | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2014-10-20 |
| 1841507415 | Janice Marie Murray | Social Worker | 717 Country Club Dr, Beloit, KS 67420-2661 | 2010-09-02 |
| 1215011465 | Melissa A Mcneill | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2006-10-24 |
| 1740896885 | Taylor Leibfried | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-09-22 |
| 1568853091 | David Fischer | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2015-02-05 |
| 1265659551 | Tracy Lynn Jurgens | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-04-19 |
| 1952429938 | Amy Christine Gentz | Social Worker | 1969 W Hart Rd, Beloit, WI 53511 | 2007-03-27 |
| 1053441923 | Carol J Katroscik | Social Worker | 1969 W Hart Rd, Beloit, WI 53511 | 2007-03-07 |
| 1528198496 | Katherine V Flanagan | Social Worker | 1969 W Hart Rd, Beloit, WI 53511 | 2007-03-07 |
| Find all providers in BELOIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.