Individual provider Active NPI

Courtney J Hicks, LCSW

  • Clinical Social Worker
  • Natchez, MS
National Provider Identifier
1043030539
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12031 Issued in LA
Practice address
8 Hicks Ridge Rd
Natchez, MS 39120-5507
Phone
(601) 807-6103
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12031 LA Primary

Addresses

Primary practice location

8 Hicks Ridge Rd
Natchez, MS 39120-5507

Mailing address

8 Hicks Ridge Rd
Natchez, MS 39120-5507
Phone (601) 807-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250505001673 LA Practitioner - Clinical Social Worker 7214454107 Reassigns benefits to 2 organizations
I20250508003547 MS Practitioner - Clinical Social Worker 7214454107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Bird Perkins Cancer Center CurrentSince Feb 21, 2025 Accepting new patients
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. CurrentSince Mar 10, 2025 Accepting new patients

Locations

5215 Essen Ln
Ste 200
Baton Rouge, LA 70809

1203 S Tyler St
Ste 230
Covington, LA 70433
Phone (985) 614-7871

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

133 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 422-1285

Networks

  • LA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1043030539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HICKS RIDGE RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205507",
            "telephone_number": "601-807-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HICKS RIDGE RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205507",
            "telephone_number": "601-807-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "COURTNEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.