Provider Demographics
NPI:1851040968
Name:VANDERLIPPE, HILAH SARGENT
Entity Type:Individual
Prefix:
First Name:HILAH
Middle Name:SARGENT
Last Name:VANDERLIPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124-2107
Mailing Address - Country:US
Mailing Address - Phone:913-707-7616
Mailing Address - Fax:
Practice Address - Street 1:1524 NE RUSSELL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-2234
Practice Address - Country:US
Practice Address - Phone:816-214-8726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker