Active NPI
Lani R. Hickman, LCSW
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1003193079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 492
- Practice address
- 2032 Lowe St
Suite 200
Fort Collins, CO 80525-5741 - Phone
- (970) 266-1778
- Fax
- (970) 266-1799
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 492 | CO | Primary |
Addresses
Primary practice location
2032 Lowe St
Suite 200
Fort Collins, CO 80525-5741
Mailing address
2032 Lowe St
Suite 200
Fort Collins, CO 80525-5741
Phone (970) 266-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 492 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1003193079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 LOWE ST",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255741",
"telephone_number": "970-266-1778",
"fax_number": "970-266-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 LOWE ST",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255741",
"telephone_number": "970-266-1778",
"fax_number": "970-266-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "LANI",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.